Costley Module 5 Flashcards by kristen linford

HIPPA STANDS FOR

Health Information Portability and Accountability Act

(1996)

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HIPPA comprises three key sets of rules…they are?

Privacy, Confidentiality, and Security

(of pt. information)

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Privacy refers to a persons rights to keep helath information ——– and conrol ——-

private

who sees it

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Confidentiality refers to the responsibility that ——- have to ——–patients information

healthcare provider

protect

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Security refers to —–,——,and——- used to keep information private.

policies, procedures, tools

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Specific objective of intra-and extraoral exams?

To recognize deviations from normal that may be signs oand symptoms of disease

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Universal or ADA system of numbering teeth

1-32

(1) start at upper right over to upper left(16)
(17) down to lower left and over to lower right (32)

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Baby teeth are numbered from —– to —– with the Universal numbering system.

A-T

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F.D.I. system or (——–) is numbered how?

International

by Quadrant

MX right (1)
MX left (2)
MN left (3)
MN right (4)

Then you use palmers notation

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Baby teeth are numbered how in the F.D.I system?

MX right (5)
MX left (6)
MN left (7)
MN right (8)

Then use Palmers notation

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Palmer System is also called?

Set Square Method

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An accurate detailed chart is used in what 5 ways

Care Planning

Treatment

Evaluation

Protection

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Clinical observations are recorded either on the —— or in the —— during ——-

Chart Form

Patient Progress notes

Each patient visit

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Information that is NEVER included in the patient record includes?

Personal opinions

Speculation

Derogaroty statemtns

Financial matters, disputes, legal actions

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SOAP

Subjective

Objective

Assessment/Analysis

Procedures

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You must know the ——— of your patient before you start ————-

state of health

manipulating the tissues

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The two general health history methods

Interview

Questionaire

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A brief telephone screening interview can help determine potential ———

medical problems and need to premedicate

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A complete history is made up of?

Interview and Questionaire

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What are the 4 types of questions you could find on a Health History Questionaire

System Oriented

Disease

Symptom

Culture

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System Oriented Questionaires have questions that contain references to _______

body parts

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Do you have or have you had any of the following problems? Would be an example of a ________Oriented Questionaire

Disease

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Does your mouth become dry frequently?

Would be an example of a _________Oriented Questionaire

Symptom

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Questionaire (Advantages)

They are _____ in scope,

______time, and are _______

broad

Save

Consistent

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Disadvantages of a Questionaire?

Impersonal Inflexible

Who are the participants in a Health History Interview

The patient/parent and Clinician

The most effective attitude for the clinician to portray is one of friendly \_\_\_\_\_\_\_,\_\_\_\_\_\_, and \_\_\_\_\_\_

understnading reassurance acceptance

Advantages of the Interview include development of a \_\_\_\_\_\_\_, and it is more _______ for individual needs

rapport with pt. Flexibile

Disadvantages of the Interview include: \_\_\_\_\_\_\_\_ when not prefaced with Questionaire Pt. may be ------------ which leads to \_\_\_\_\_\_?

Time consuming embarrassed items being left out

Reasons for Pre-Medication with Antibiotic

Prosthetic Heart Valve Previous Infective Endocarditis Congenital Heart Disease: 1. Unrepaired cyanotic congential heart disease 2. Completely repaired CHD with prosthetic material or device (during first 6 mo after procedure was done) 3. Repaired CHD with residual defects at the site or adjacent to the site of a prosthetic patch Cardiac Transplantation recipients with cardiac valvular disease

Dental and Hygiene procedures that need Premedication involve

Manipulation of gingival tissue The periapical region of teeth Performation of the oral mucosa

Prophylaxis Antibiotics Amoxiciliin for Adult Amoxicillin for Child

2g 50mg/kg of childs weight

Antibiotic Prophylaxis with Clindamycin or Cephalexin Adult: Child:

600mg Clindamycin 2g Cephalexin 20mg/kg of childs weight 50mg/kg of child weight

You have to update HHx how often

At every appt.

Normal range for body temperature

96-99.5 F 35.5-37.5 C

Normal Range for Pulse Rate

60-100/min

Normal Range for Respiration

14-20/min

Normal Blood Pressure

\<120 \<80

Prehypertension B/P range

120-139 80-89

Stage 1 Hypertension BP Range

140-159 90-99

Stage 2 Hypertension BP Range

\>160 \>100

Older adult (\>70) have a _____ temp

lower 96.8F

Children body temperatures in first year? twelfth year?

99. 1F 98. 0F

Pyrexia is a fever of

99.5F

Hyperthermia (heat stroke) has a temperature of

105.8 F

Hypothermia has a temperature of

96.0F

Factors that alter body temperature

Time of day ( high in late afternoon, low during sleep) Increase: Exercise, hot drinks, smoking Pathologic states: Infection, dehydration Decrease: Starvation, hemmorrhage

Treat pt. as a medical emergency if temp is over?

105.8F

A pulse is the result of the alternate ____ and ___ of an artery.

expansion contraction

Normal pulse rate In utero, at birth, and at tenth year

150 130 70

Tachycardia means

increase pulse

exercise, stimulants, eating, heat and cold, strong emotions....All could cause

Tachycardia

Bradycardia means

decreased pulse

Sleep, depressnats, fasting, quiet emotions, and low vitality from prolonged illness....could all cause

Bradycardia

You should observe ______ and ______ when taking a Pulse Rate

Rhythm Volume/Strength

Normal Respiratory Rates for 1yr old and 15 year old

30 18

Factors that can increase respirations

work, exercise, excitement, nervousness, shock

Factors that can decrease respirations

sleep, certain drugs, pulmonary insufficiency

When the -------- ventricle contracts, blood is forced out into the aorta and tracels through the large arteris down...

left

Systolic vs. Diastolic

Stystolic is highest number Diastolic is lowest number

The ________ is the difference between systolic and diastolic

Pulse Pressure

At what age should you start taking BP

8 years old

Blood Pressure depends on the following: \_\_\_\_\_ of heart beat ---------- -------- and _______ of blood

Force Peripheral Resistance Volume

Systolic Pressure is caused by ?

ventricular contraction

Diastolic Pressure is the effect of?

Ventricular relaxation

The BP cuff goes where?

1 in above anticubital space

Karotkoff Sounds

Vibrations in the artery walls heard through a stethoscope

Auscultation is the act of?

listening for sounds in the body with a stethoscope

Too small or too narrow of a BP cuff gives you?

A false high