Post-Operative Patient Management Flashcards Preview

Oral Surgery Test 2 > Post-Operative Patient Management > Flashcards

Flashcards in Post-Operative Patient Management Deck (24)
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1

When doing surgical consent form, what should you mention? (8)

Bleeding
bruising
swelling
pain
dry socket
Trismus
diet
OHI

2

Post-op Bleeding
What do you need to tell them about gauze?
-how long?

Moistened and directly on the sockets for the first HOUR

[new ones should be moist as well]

3

Cautions related to bleeding (4)

-No smoking 12 hrs
-No straws
-Rinse/spitting
-No exercise for 12 hrs

4

Tell the patient to call IF (3)

1. LONG term bleeding
2. Bright red bleeding
3. Large Liver clots

5

Secondary to gauze placement (what else can be used besides gauze to help with bleeding?)

Tannic acid from teabags (also moisten)

6

Bruising information to tell patient

Simply mention it to decrease anxiety if it happens.

7

Swelling is worst during (time period)

2-3 days (up to week for old people)

8

Continued or exacerbated swelling past day three may indicate

infection

9

What can be used to reduce swelling?

ice packs (on 20 off 20 for first 24hrs)
Heat AFTER 3rd day!

10

What extractions cause more trismus?

Mandibular molars (3rds)

11

Diet concerns

-Eat soft foods for first day

12

Oral hygiene instructions (3)

DONT use tpaste for the first day.
After 1st day:
-salt water rinse
OR
-Chlorhexidine rinse

13

Peak Pain occurs when?

12 hours after surgery

14

Pain lasts about how long?

2days

15

What NSAID should be prescribed?

Ibuprofen (600 mg/dose)

16

What procedures are more likely to need a central acting medication?

(central acting means narcotics)

Surgery's with bone removal tend to need more than just ibuprofen/acetaminophen

17

Dry Socket
-Definition

Delayed healing and not a suppurative infection.

18

Dry Socket Symptoms (4)

-Pain on 3-4 day
-Bad breath/taste
-Lymphadenopathy
-Appears barren OR filled with yellow nasty YUCK!

19

Dry Socket PAIN
-describe sensation
-radiates to
-Why we get the pain

-Sensation: dull throbbing

-Felt in: EAR and Incisors

-PAIN due to: exposed nerve endings from BONE

20

What "might" cause Dry sockets?

Fibrinolytic activity

21

Dry Socket happens where most oft?

IMPACTED mandibular 3rds
-rare in maxillary of any kind

22

Dry Socket Prevention (4)

Low trauma
irrigation
PRE and Post op chlorhexidine
Gel sponge with tetracycline (for alcoholics)

23

Dry Socket treatment (2)

-Irrigate
-get them out of pain

24

What do we place into the Dry Socket to reduce pain and act as a antibiotic?
-This placed material is soaked in (2)

Iodoform Gauze SOAKED IN
-Eugenol
-Benzocain