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Lecture 1
Medical History
Term | Definition |
---|---|
ASA I | Healthy patient, able to walk one flight of stairs with no distress, BP <120-<80 |
ASA II | 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 |