lecture 1 Flashcards
ASA 1
Healthy patient, able to walk one flight of stairs with no distress, BP <120-<80
ASAII
Mild systemic disease, well-controlled chronic conditions, healthy pregnant woman, Prehypertension & Stage 1 hypertension
ASA III
Systemic disease that limits activity but no incapacitating, must stop en route walking one flight of stairs, chronic cardio conditions, controlled insulin dependent diabetes, chronic pulmonary disease, elevated blood pressure, Stage 2 hypertension
ASA IV
Incapacitating disease that is a constant threat to life, unable to walk up one flight of stairs, unstable cardio conditions, uncontrolled epilepsy, uncontrolled insulin dependent diabetes, BP >180 ->110
ASA V
Patient is moribund and not expected to survive
Stress
causes most dental emergencies such as stroke, epileptic seizure or raised blood pressure
Amoxicillin dose
2g
Cephalexin dose for penicillin allergy
2g
Clindamycin dose for penicillin allergy
600 mg
Azithromycin or Clarithromycin dose for penicillin allergy
500 mg
normal body temperature
96.0 to 99.5 F typically 98.6F
Normal respirations
14-20 per minute
Normal pulse
60-100 per minute
Normal blood pressure
<120-<80
pre-hypertension
120-139 over 80-89
Stage 1 hypertension
140-159 over 90-99
Stage 2 hypertension
> 160 over >100
Conditions that require antibiotics before dental care
Artificial cardiac valves, joint replacements, previous bacterial endocarditis, transplants
Infective endocarditis
an inflammation of the heart valves and lining of the heart as a result of bacterial infection
Leukemia
abnormal proliferation of leukocytes
Thrombocytopenia
Number of platelets are reduced, most common bleeding disorder
Blood thinners
warfarin, coumadin, aspirin, acetaminopnen expect more bleeding
Sickle Cell Anemia
Red blood cell disorder, anemic Take folic acid supplement
Diabetes
metabolic disorder caused primarily by a defect in the production of insulin by the islet cells of the pancreas resulting in an inability to use carbohydrates, Type I and Type II
What is the purpose modified stillman’s method
plaque removal from cervical areas–message gingiva