Emergencies & Records - Week 5 PP Flashcards

Question

When Antibiotic Prophylaxis is NOT required

Answer 1

The following procedures and events do not need prophylaxis for high risk patients: 1. Routine anesthetic injection through no infected soft tissue 2. Dental radiographs 3. Placement of removable prosthodontic or orthodontic appliances 4. Adjustment of orthodontic appliances 5. Placement of orthodontic brackets 6. Shedding of deciduous teeth 7. Bleeding from trauma to the lips or mucosa

Answer 2

Patients with prosthetic joint implants, prophylactic antibiotics are not routinely recommended prior to dental procedures to prevent prosthetic joint infection Most transient bacteremia of oral origin occurs outside of dental procedures. * The significant majority of prosthetic joint infections are not due to organisms found in the mouth. * Few prosthetic joint infections have an observable and clearly defined relationship with dental procedures. * There is no reliable evidence that antibiotic prophylaxis prior to dental procedures prevents prosthetic joint infections

Answer 3

1. Only the supervising dentist/dental hygienist can designate a patient record/chart as a medical alert. 2. If a student suspects a possible medical alert (MA), he/she is to red star the condition on the Medical History note page. 3. The supervising dentist/dental hygienist will note the medical alert by, placing a red star next to the medical alert on the medical and dental history form and by writing medical alert on the upper right corner of the patient chart in red pen. 4. A red tab will also be placed on the chart, three slots from the tag color coded to indicate the patient’s first letter of their last name. 5. Medical Alert designation must reflect a potential medical emergency during the procedure or must have an impact on dental treatment. 6. The medical alert will also be recorded in the patient’s electronic file

Answer 4

- All anaphylactic allergies will be considered a MA. - Any allergy to prescription medications or over the counter medications will be considered a MA. - Allergies to latex will be considered a MA. - Allergies to components of dental products will be a MA Milk or seasonal allergies are NOT MA

Answer 5

1. Due to frequent fluctuations and changes in the disease, it will be designated as an MA. 2. If the patient has their inhaler, it will be placed on the operatory counter for accessibility. 3. If requested by the supervising dentist/dental hygienist, the student will retrieve a Bronchodilator inhaler from the medical kit

Answer 6

1. A baseline blood pressure will be taken on all adult new patients (18 years of age or older). 2. Blood pressure readings will be taken on all adult patients at their initial appointment and updated every 6 months or sooner as required by clinic blood pressure protocols or for evaluation purposes. 3. The supervising dentist/dental hygienist will determine treatment protocols for any abnormally high readings as based on the Guidelines for Blood Pressure for Adults in the SAIT Dental Clinic. 4. Patients with a history of high blood pressure and/or a blood pressure over 140/90 will be designated as a MA

Answer 7

1. Heart attack and congestive heart disease will be deemed a MA due to the risk of a medical emergency, 2. Other heart conditions will be considered a MA based on patient responses and will be determined by the supervising dentist or dental hygienist

Answer 8

Due to an increased risk of a medical emergency and special needs of patients with a history of the above conditions they will be considered a MA

Answer 9

Due to the special needs of patients with bleeding disorders and the complications that may arise from treatment, patients with a bleeding disorder will be considered a MA

Answer 10

Any patient who requires antibiotic prophylaxis prior to dental care will be considered a MA

Answer 11

Consultation with a pre-natal health care professional is usually not required prior to routine preventive dental care. Consultation, however, should be sought before treating pregnant patients who have been deemed at being high risk for pregnancy complication such as: Diabetes, hypertension, pulmonary or cardiac disease, bleeding disorders (threat of spontaneous abortion) or a history of premature labour

Answer 12

-Keep the woman’s head at a higher level than her feet. * Place woman in a semi-reclining position, as tolerated, and allow frequent position changes. * Place a small pillow under the right hip, or have the woman turn slightly to the left as needed to avoid dizziness or nausea resulting from hypotension  Short appointments should be considered during the second and third trimester

Answer 13

Fluoride treatment may be needed for pregnant patients with severe gastric reflux caused by nausea and vomiting during early pregnancy, which can cause erosion of tooth enamel. Topical fluoride gel may cause nausea, so application of a fluoride varnish may be better tolerated. The application of topical fluoride should follow evidence-based guideline

Answer 14

a no-no The routine use of radiographs should be avoided in all trimesters of pregnancy

Answer 15

The use of ultrasonic scalers can produce electromagnetic interference with some cardiac pacemakers or implantable cardioverter-defibrillators (ICDs) and should be used with caution Most new pacemakers and ICDs are designed with preventive measures that include electronic filters or insulators to ensure proper operation and reduce electromagnetic interference and will be considered a MA

Answer 16

DENTSPLY, the manufacturer of the SAIT Dental Clinic ultrasonic scalers recommends that the handpiece and cables be kept at least 15-23 cm away from any pacemaker and pacemaker leads during use and that consultation with the patient’s physician is recommended prior to use Therefore, patients who present to the SAIT Dental Clinic with a cardiac pacemaker or ICDs must be hand scaled as the use of an ultrasonic scalers may be contraindicated. Consultation with patient’s physician is required