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Dental office emergencies
quiz questions before midterm from class
63
Dentistry
Undergraduate 3
02/08/2014

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Cards

Term
lack of adequate blood volume
Definition
hypovolemic shock
Term
reduction in tissue perfusion due to decreased cardiac output
Definition
cardiogenic shock
Term
neurogenic: loss of sympathetic nerve activity from vasomotor center
Definition
syncope
Term
anaphalactic shock in this category of shock
Definition
distributive shock/vasogenic
Term
eliminating too much carbon dioxide with this condition
Definition
hyperventilation
Term
sudden transient loss of consciousness and postural tone with spontaneous recovery
Definition
example of syncope
Term
temporary episode of behavior alteration due to massive abnormal electrical discharges in on or more areas of the brain
Definition
epilepsy
Term
lack of adequate oxygenated blood supply to brain
Definition
CVA
Term
what is the most common form of shock
Definition
Hypovolemic is most common... it has a lack of adequate blood volume.
Term
what is an aura
Definition
warning sign for seizure
Term
what are some tests you could do to determine if a patient is having stroke
Definition

-close eyes, hold up arms and look for drifting

 

-speech "the sky is blue in cincinati"

 

look at pupils, if one is dilated it is indicitave that not enough oxygen is reaching the brain.

 

can they smile

Term
symptoms of stroke
Definition

eyes unequally dilated

 

cannot smile (half face paralysis)

 

dizzy, confused, cannot hold arms up

Term
types of stroke
Definition

ischemic

-thrombolitic

-embolitic

 

hemmoragic stroke

Term
stable angina what ASA type
Definition
ASA type III
Term
cerebrovascular accidnet more than 4 months ago what ASA type?
Definition
ASA  IV
Term
normal healthy patient is what ASA type
Definition
ASA I
Term
controlled heart failure
Definition
ASA III for controlled heart failure
Term
controlled hypertension
Definition
ASA II for controlled hypertension
Term
sepsis with hemodynamic instability
Definition
ASA V for sepsis
Term
MI longer than 6 months ago
Definition
ASA III
Term
Allergies what ASA type
Definition
ASA II for allergies
Term
What ASA type for pregnancy
Definition
ASA type II
Term
poorly controlled hypertension what ASA type?
Definition
ASA III for poorly controlled hypertension
Term
what does ASA stand for?
Definition
American society of anesthesiologists
Term
what is the drug used for anaphylaxis?
Definition
injectible epinephrine
Term
what is the drug used for hypoglycemia
Definition
glucose
Term
what is the drug used for adrenal crisis
Definition
corticosteroid
Term
what is a drug used for epileptic seizure?
Definition
lorazepam/ benzodiazepine
Term
what is the drug used for angina pectoris pain
Definition
nitroglycerin
Term
what is the drug used for asthma attack?
Definition
albuterol
Term
what is used for all emergencies except hyperventilation
Definition
oxygen
Term
what is the primary assignment for team member # 3 in SCF emergencies
Definition
to record vital signs in emergency
Term
what team member stays with the patient in a medical emergency
Definition
team member 1
Term
who recruits team member 2
Definition
team member 1 recruits team member 2
Term
what is the job of team member 2
Definition

gopher-gets the doctor, gets oxygen/aed, drug kit

recruits team member 3, and calls 911

Term
what is the most important thing to do in medical emergency
Definition
review medical history / vital signs
Term
what represents a rapid, disorganized, irregular contraction of the ventricle?
Definition
ventricular fibrillation
Term
atypical discomfort/neck pain, upper abdominal pain, fatigue, shortness of breath are all symptoms of
Definition
MI in women
Term
localized stabbing chest pain
Definition
could be non cardiac related, or unstable angina




Non cardiac
Term
what are some risk factors for angina/mi
Definition
obesity, diabetes, smoking, high bp, increasing age
Term
symptoms of left ventricular failure are
Definition
dry, non productive cough, elevated bp, dysnea, tachycardia
Term
symptoms of right ventricular failure are?
Definition
nocturia, peripheral edema, extended jugular veins
Term
what vasodilates blood vessels
Definition
nitroglycerine
Term
what constricts blood vessels
Definition
epinephrine
Term
what may be contraindicated with stable angina?
Definition
epinephrine is contraindicated with angina
Term
albuterol is used
Definition
as an emergency drug for asthma
Term
what is used for treatment of tachyarrythmias
Definition
internal cardioverter
Term
what are some symptoms of a malfunctioning pacemaker or Internal cardioverter and what is the appropriate response?
Definition

-dypnea, dizzy, moist pale skin, brady or tachycardia, chest pain, swelling in extremities, hiccuping

 

-turn off all interferences, check conciousness, vitals, pulse rate monitoring, ems, 911, do basic life support with abc's till ems arrives.

Term
a patient who has ulcerative colitis with prednisone 20 mg, a steroid for over 2 years and is affraid to have dental care, what would you do?
Definition
consult with dr.  he may recommend additional steroid.
Term
symptoms of adrenal crisis are
Definition

fatigue, weakness

lethargy

headache

confusion

fever

nausea/vomiting

hypotension/shock (fast pulse, low BP)

diaphoresis

dehydration

Term
what is the name of the primary adrenal insufficiency disease?
Definition
Addisons disease
Term
secondary adrenal insufficiency involves what
Definition
triggers similar symptoms of addisons but only involves the pituitary and hypothalamas.
Term
what is thyroid storm:?
Definition

thyroid crisis too high

10-50% fatal

fever diaphoresis

confusion

anxiety

 high temp

high respiration

high bp

Term
thyroid crisis too low is called
Definition
myexedema coma
Term
what is the drug to treat hyperthyroidism
Definition
tapazole
Term
what is the drug used for hypothyroidism
Definition
synthroid
Term
what are some symptoms of hyperthyroidism
Definition

osteoporosis of alveolar bone

weight loss

puffy eyelids

tremors

heat intolerance

tachycardia

fine hair

Term
if a patient with type 1 diabetes exercised more than usual but did not change insulin dosage or food intake, what would be the result of blood sugar?
Definition
blood sugar would be low
Term
type II diabetes patient becomes cold and clammy and grouchy what should you do?
Definition
give glucose tablet
Term
what is the role of insulin?
Definition
the key that unlocks the cell and allows glucose to enter
Term
hyperglycemia symptoms include
Definition
warm, dry skin, low bp, high respiration
Term
what are the classic signs of diabetes?
Definition

polyuria

polydipsea

polyphagia

Term
what are common compications associated with diabetes?
Definition

nueropathy

cardiac problems

periodontal disease

blindness

 

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