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Hygiene Sem 1 > Clinic Theory Week 10 > Flashcards

Clinic Theory Week 10 Flashcards

(78 cards)

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1
Q

Temperature assessment

A

Measurement of the degree of heat in a body measured with a thermometer

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2
Q

When should an oral temp not be taken

A

Pt recently had oral surgery
Pt is under 5 (might bite)
Pt is confused or sedated

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3
Q

Anything hot or cold to drink within the last 30 minutes affects

A

Pts temperature

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4
Q

Placing thermometer intraorally

A

Ask client to open and raise tongue
Place bulb of thermometer on heat pocket
Rest stem on anterior teeth in opposing arch

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5
Q

Average normal oral temperature

A

37°

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6
Q

Pyrexia aka

A

Fever

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7
Q

Any reading above ___ is considered a fever (pyrexia)

A

37.6°

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8
Q

Variables affecting temperature

A

Time of day (lowest in am)
Exercise
Age (if 70+ avg temp 36°)
Environment
Stress
Smoking
Hot/cold liquids
Hormones
Infection

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9
Q

A temperature above 101F or 38.3C usually indicates

A

Active disease process

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10
Q

A temperature above 105.8F or 41C is considered a

A

Medical emergency

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11
Q

Pulse rate is an indication of

A

An individuals heart rate

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12
Q

Normal adult pulse rate is between

A

60 and 100 beats per minute

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13
Q

Ages 2-6 have a higher approximate range of pulse than adults

A

True (2-6 yrs=75-120)

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14
Q

Who tend to have a slower pulses at rest

A

Athletes

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15
Q

Increased pulse rate can be a normal response to

A

Stress
Exercise
Pain

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16
Q

Factors affecting pulse rate

A

Age
Medication
Stress
Exercise

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17
Q

Most common pulse point used in dental assessments is over the

A

Radial artery in the wrist

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18
Q

Brachial artery

A

Main artery of upper arm
(Divides into the radial and ulnar arteries at the elbow)

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19
Q

Radial artery

A

Begins below the elbow and extends down the forearm on the thumb side of the wrist onto the hand

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20
Q

Normal amplitude refers to

A

Full, strong pulse that is easily felt

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21
Q

Regularly irregular refers to

A

Regular pattern overall with “skipped” beats

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22
Q

Irregularly irregular refers to

A

No real patter, difficult to measure accurately

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23
Q

To assess amplitude of pulse use a numerical scale to characterize its strength

A

0- absent no pulse
1- weak/thready pulse hard to feel
2- normal pulse easily felt
3 bounding, forceful that is readily felt

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24
Q

Palpating for pulse

A

Use finger pads of your first 3 index fingers
Apply only enough pressure so that the radial artery can be felt

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25
What finger should not be used due to having its own pulse
Thumb
26
You should not tell patient when you are taking this vital
Respiration (They may change breathing pattern if they are aware it is being assessed)
27
Normal breathing allows a person to inhale and exhale how much air (ml)
500mL of air
28
Children use their diaphragms when breathing so watch their
Abdomen (as opposed to chest)
29
Normal respiration for an adult is between
12-20 breaths per minute
30
Some Variables that contribute to respiratory rate
Excitement Exercise Pain Fever Age Medication Gender Body position Stress
31
Breathing is an unconscious function; can be brought under bolstering control by
Holding breath Panting Singing Sighing
32
Ages 3-6 years take more breaths per minute than adults
True (22-34 breaths per minute)
33
Evaluation of respiration
Rhythm (regularity) Ease (laboured painful?) Depth (deep/shallow) Noise (wheezing/gurgling) Abnormal odor (fruity/alcohol)
34
Systolic pressure refers to
Top reading of blood pressure (first sound) Pressure created against the vessel walls when the heart beats
35
Diastolic pressure refers to
Bottom reading, second sound Pressure between heart beats when the heart relaxes
36
Systolic pressure should be less than
130mm Hg
37
Diastolic pressure should be less than
85mm Hg
38
Hypertension is what?
Abnormally high blood pressure
39
Does high blood pressure have symptoms? High blood pressure reading is above
No- referred to as silent killer Above 135/85
40
Hypotension is
Abnormally low blood pressure
41
Dangers/risks of high blood pressure
Stroke, heart attack, seizure, heart failure, kidney failure
42
Recommended lifestyle changes for high blood pressure
Reduce salt Prescribed medication Exercise Stress reduction Lose weight
43
Blood pressure equipment
Sphygmomanometer Consists of a cuff, bulb and manometer Need a stethoscope
44
Kortokoff sounds refers to
Series of sounds heard as the pressure in BP cuff is released
45
Ausculation is the act of
Listening for sounds in the body with a stethoscope
46
Influences of blood pressure
Age, race, body position, respiration, emotion, temperature, anxiety, exercise, alcohol, tobacco
47
White coat hypertension
Dental or medical anxiety causes blood pressure to rise
48
If patient experiences white coat hypertension, in order to obtain accurate readings have the pt
Relax in a quiet room for a short time before assessing blood pressure
49
Normal bp if the client has no history of other risk factors is
130/85
50
Normal bp if the client has history of other risk factors is less that
130/80
51
Four of the most critical technique elements for accurate blood pressure determination
Cuff size Cuff placement Position of clients arm Obtaining a palpating estimate of the blood pressure
52
Bladder length in reference to blood pressure cuff: too short causes
Falsely high readings
53
Cuff placement landmark
Antecubital fossa Lower edge should be 1-2 inches above the fossa Fossa should be at the clients heart level
54
Arm position in reference to blood pressure: antecubital fossa too low causes
False high readings
55
Blood glucose levels for diabetic client
3.9mmol/L-11.1mmol/L
56
If blood glucose reading is lower than 3.9mmol/L pt is
Hypoglycemic (blood sugar too low)
57
If BGL higher than 11.1mmol/L your pt is
Hyperglycaemic
58
Purpose of health history
Document/obtain baseline info Identify risk factors
59
Health status is
Dynamic
60
Health history form is
Confidential and protected by law
61
What are the vital signs
Temperature Pulse rate Respiration rate Blood pressure
62
Tachycardia
Above 100 beats per minute Abnormally elevated heart rate
63
Bradycardia
Below 60 beats per minute Abnormally slow heart rate
64
PVC’s- premature ventricular contractions are common and can be caused by
Smoking fatigue alcohol caffeine stress and certain medications
65
Pulsus alter and may indicate (Hint alternating strong and weak pulses)
Ventricular failure
66
Tachypnea
Rapid breathing (over 20RPM)
67
Bradypnea
Slow breathing Can occur with diabetic coma
68
Chronic hypertension causes thickening
And loss of elasticity in arterial wall
69
At TCDHA what pages have the medical condition written on the sticker
Personal info page Medical update page Record of care page
70
4 step treatment approach- RAME
R- recognition of disease A- assessment of risk M-management for safety E-emergency care
71
Unresponsiveness (unconsciousness) requires
Immediate basic life saving support steps to be implemented
72
CPR: what does CAB stand for
Compressions Airway Breathing
73
Partial airway obstruction: pt is
Making noises or coughing noises
74
Anaphylaxis is generalized most threatening allergic reaction; affects can be seen
Skin, smooth muscle, respiratory and cardiovascular system
75
Anaphylactic shock occurs when consciousness is lost as a result of
Hypotension from anaphylactic reaction
76
Chest pain caused by temporary myocardial schemas without damage to heart muscle
Angina pectoris
77
Cerebrovascular accident is known as
Stroke
78
Syncope
Fainting

Hygiene Sem 1 (22 decks)

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