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dental office emergencies
quiz for 2-17-14 diabetes, epistaxis, thyroid, allergy, adrenal crisis
43
Dentistry
Undergraduate 3
02/16/2014

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Cards

Term
what is the % of those who have type I diabetes
Definition
5-10%
Term
what is % of type II diabetes?
Definition
90-95%
Term
which type of diabetes is an autoimmune reaction
Definition
type 1 autoimmune,
Term
where is insulin made?
Definition
in pancreas beta cells
Term
which type of diabetes makes insulin but the body cant use it?
Definition
type II body makes it but body is insulin resistant
Term
how does the body process glucose for type II diabetes?
Definition
in fat cells, produce ketones, ketoacidosis
Term
what are some things to know about gestational diabetes
Definition

-mom can get type II after birth

 

-fat babies

 

-c sections needed

Term
what are some symptoms of hypogylcemia and hyperglycemia?
Definition

polyuria (frequent urination)

polydipsea-thirst

polyphagia-hunger

blurred vision

Term
hypoglycemic
Definition

low blood sugar, cool moist skin, clammy, confused, irritable, 

 

can result in diabetic shock 

 
Term
hyperglycemic
Definition

diabetic come

warm, dry skin, high blood sugar, high respiration, high temp, low bp.

Term
what are some things that go along with diabetes? as far as what parts of the body are affected.
Definition

periodontal disease

nepropathy (kidney damage)

neuropathy ( numbness leads to amputations)

cardiovascular problems

blindness

Term
what is the normal target blood sugar
Definition
less than 100
Term
how do you treat hypoglycemia
Definition
glucose tablets
Term
how do you treat hyperglycemia?
Definition
insulin therapy
Term
allergy
Definition
exposure to an antigen followed by build up of antibodies, and creates a histimine response
Term
pruritus
Definition
itching from release of histimine in allergic reaction
Term
erythema
Definition
rash from allergy
Term
angioedema
Definition
localized swelling of mucous membranes, lips, larynx, pharynx
Term
how to treat allergy
Definition

epinephrine

benadryl

oxygen positon upright

Term
where are adrenal glands
Definition

upon kidney

endocrine glands

 

Term
what to adrenal glands produce
Definition
cortisone and alderosterone
Term
what is a chronic, primary adrenal insufficiency called
Definition

addisons

it is an autoimmune disease

Term
what is a secondary adrenal insufficiency
Definition
not enough adronocorticotropic hormone to stimulate adrenal cortex.  usually pituitary or hypothalamus gland disease.
Term
what is adrenal crisis
Definition

usually undiagnosed

 

additional cortisol taken for medical condition resulting in suppression of normal production of cortisol

Term
what are some warning signs of adrenal crisis
Definition
fatigue, weak, headache, confusion, fever, nausea, hypotension, tachycardia, diaphoresis (sweating), dehydration.
Term
how do you treat adrenal crisis
Definition

call ems

 

abc's

ems will administer glucocorticoids

Term
what is the rule of 2's
Definition

20 mg

2 weeks

for 2 yrs

 

if someone is taking steroids they may need additional in stressful situations

Term
what controls metabolism
Definition
thyroid
Term
hypothyroidism
Definition

lack of adequate hormone production

 

cold, gain weight, no energy, dry skin, mental and physical slowing.

Term
hyperthyroidism/ graves disease
Definition

excess of hormones in bloodstream

 

lose weight, fine hair, puffy eyelids, tremors, tachcardia, heat intolerance

 

body makes antibodies and attacks itself

Term
what are some symptoms of hyperthyroidsim
Definition

osteoporosis of alveolar bone

rapid development of caries and perio

accelerated tooth eruption in children

Term
what is the treatment for hypothyroidism
Definition
synthroid
Term
what is the treatment for hyperthyroidism?
Definition

tapazole

 

surgery

 

ablation therapy (radioactive iodine)

Term
what happens in a myexedema coma
Definition

thyroid hormone too low!!!!

hypothermia, puffiness, cool,dry skin

 

 

Term
what is the treatment for myexedema coma?
Definition

normalize temp

hospitalization

no sedatives

prophylactic antibiotics

Term

thyroid crisis

 

Definition

thyroid too high

life threatening

undiagnosed, or non compliance for meds.

sweating, confusion, anxiety, psychosis

Term
how to treat thyroid crisis (too high)
Definition

ems

vitals

ems distributes 

IV

beta blockers and corticosteroids

Term
when is epinephrine contraindicated with thyroid crisis
Definition
no epi for non stabilized hyperthyroid patients
Term

board Q

 

thinning of the mandible best shows up in what type of radiograph?

 

what is this indicitive of

Definition

pano

 

hyperthyroidism

Term
epistaxis
Definition
nose bleed
Term
what is main cause of nose bleed
Definition
digital manipulation or fall
Term
where does the nose bleed on children
Definition
anterior
Term
where does the nose bleed on geriatrics
Definition
posterior
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