Class Discussion

kukuhkjhh's version from 2017-04-30 19:38


Question Answer
T/F Not all seizures are epilepsy TRUE
When can seizures occur ?Can occur with stress, sleep deprivation, fever, alcohol or drug withdrawal and SYNCOPE
What is the clonic phase of seizure ?uncoordinated beating movements of limbs and head, forcible jaw closing, and head rocking
What is common in the clonic phase of seizure? and how long does this phase last ?urinary incontinence is common , usually lasts <90seconds
How do you manage a patient who has seizures ? • Use a mouth prop –safely • Identify premonitory aura and irritability • Early administration of a benzodiazepine • Protect the patient and prevent injury if patient seizes in dental chair- you have suction available • Passive restraint to prevent injury /Oxygen mask and suction of mouth in post-ictal phase
Should there be any additional dental treatment post seizure ?No additional dental treatment post seizure but should examine for injuries- lacerations, fractures, dental trauma
Should you call the EMS ?in private setting YES, not going to be able to drive
What is the oral manifestation of seizures ?gingival overgrowth secondary to phenytoin • dental and mucosal trauma from seizures
What are the 4 risks that epileptic patients have and why ?1. INFECTION- due to poor OHI 2. BLEEDING- medication may lead to thrombocytopenia 3. DRUGS- gingival inflammation secondary to hyperplasia 4. DENTAL CARE- wait at least 2 weeks after last seizure
BEFORE treating patient who have seizures what should you do ?Learn about seizure history (type, onset age, causes or precipitating factors, medications, frequency control, and date of last seizure)
What is the recall plan for patients with seizures ?maintain optical OH and FREQUENT recall maintenance (q3 months)
What is the FEV1 test for ?max. amt. of air you can forcefully exhale in one second / marker for how much obstruction you have
What is the COPD type called blue bloater?chronic bronchitis-chubby guy smokes, daily productive cough 3 mo or more, blue because cyanotic, peripheral edema, rhronchi and wheezieing
What is the COPD type called pink puffer?emphysema- older, thin, short of breath, quiet chest
Is it safe to use nitrous on patients with COPD ?In general try to avoid nitrous
What precautions with LA would you have for a patient with COPD ?Can use LA with epi within reason, minimize use of bilateral IAN blocks or palatal
Pt. has PMH: HTN, SHX: 3 cigars a week/ Cirrhosis / Rhiophyma (large red nose)/ Spider angioma , what do we need to know before extraction ?bleeding and clotting factors are going to be affected
What post-operative analgesia do you NEVER GIVE to patient with liver problems ?tylenol,
What is the most common life threatening disease?polycystic kidney disease
What are the 1st noticeable symptoms of PCKD?high BP, back side, blood in urine , bladder infections
What are the modifications when prescribing medications for dialysis patients ?need to change the dosing interval NOT the about of drug
*TESTKnow these things from renal power point: calcium metabolism///oral findings in renal failure/// describe hemo and peritoneal dialysis//// don’t require ab prophylaxis///what modification when prescribing meds for dialysis patients, ////Need to change the dosing interval not the amount of drug