DAANCE module 2
4 key medical history questions - ✔✔Current medical conditions/under physician care
Prior hospitalizations/ surgeries
Current meds
Allergies & reactions
8 review systems - ✔✔General, Skin, Cardiovascular, Pulmonary, Gastrointestinal, Genitourinary,
Neurologic, skeletal
Mallampati Classification - ✔✔1 Visualize soft palate, fauces, uvula, anterior and posterior pillars
2 Visualize soft palate, fauces, uvula
3 Visualize soft palate and base of uvula
4 no soft palate visualized
Fasting - ✔✔8 hrs- no fatty, fried food and meat
6 hrs- light meal and liquid- toast
2 hrs- clear liquids
Classify sedation per pt - ✔✔1 Healthy for all
2 mild systemic disturbance ( smoker)
3 severe systemic disease/disturbance managed by medications. Consult with physician
4 Pt has life threatening systemic disease
5 pt moribund - surgery in despiration
Angina PEctoris - ✔✔pain in chest bec of inadequatecoronary circulation, and flow of o2 in heart.
Relieved by vasodilator drugs- nitroglycerine
atherosclerosis - ✔✔hardening of arteries
, Thromosis - ✔✔larger clot totally occludes artery
treatment for severe ischemic heart disease - ✔✔coronary bypass and angioplasties
angiplasties - ✔✔changing shape of occluded blood vessel and squashing plaque. stent places to keep
shape.
pt on antiplatelet drugs (1-2 yrs)
Ischemic heart disease & acute coronary syndrome - ✔✔diease with blood flow in coronary arteries &
decreasing blood flow into ischemia
Myocardial infaction - ✔✔result from severe deficient coronary arterial blood supply to myocardium -
resulting in necrosis.
Treat with Thrombolitics 1-2 hrs post attack.
no surgery 6-8 wks post
rheumatic heart diease - ✔✔bacteria from strep throat infects and damages valves- mitral valve. back
flow of blood= murmer
mitral valve prolapse - ✔✔mvp= upward, redundant motion of valve leafeletsinto left atrium.
Hypothryoidism/ heridetory
antibiotic prophylaxis - ✔✔prevents subacute bacteriam endocarditis. damage to heart valves/ systemic
infection
prosthetic valves post op - ✔✔anticoagulants, prophylactic antibiotics
hypertension - ✔✔above 120/80
4 key medical history questions - ✔✔Current medical conditions/under physician care
Prior hospitalizations/ surgeries
Current meds
Allergies & reactions
8 review systems - ✔✔General, Skin, Cardiovascular, Pulmonary, Gastrointestinal, Genitourinary,
Neurologic, skeletal
Mallampati Classification - ✔✔1 Visualize soft palate, fauces, uvula, anterior and posterior pillars
2 Visualize soft palate, fauces, uvula
3 Visualize soft palate and base of uvula
4 no soft palate visualized
Fasting - ✔✔8 hrs- no fatty, fried food and meat
6 hrs- light meal and liquid- toast
2 hrs- clear liquids
Classify sedation per pt - ✔✔1 Healthy for all
2 mild systemic disturbance ( smoker)
3 severe systemic disease/disturbance managed by medications. Consult with physician
4 Pt has life threatening systemic disease
5 pt moribund - surgery in despiration
Angina PEctoris - ✔✔pain in chest bec of inadequatecoronary circulation, and flow of o2 in heart.
Relieved by vasodilator drugs- nitroglycerine
atherosclerosis - ✔✔hardening of arteries
, Thromosis - ✔✔larger clot totally occludes artery
treatment for severe ischemic heart disease - ✔✔coronary bypass and angioplasties
angiplasties - ✔✔changing shape of occluded blood vessel and squashing plaque. stent places to keep
shape.
pt on antiplatelet drugs (1-2 yrs)
Ischemic heart disease & acute coronary syndrome - ✔✔diease with blood flow in coronary arteries &
decreasing blood flow into ischemia
Myocardial infaction - ✔✔result from severe deficient coronary arterial blood supply to myocardium -
resulting in necrosis.
Treat with Thrombolitics 1-2 hrs post attack.
no surgery 6-8 wks post
rheumatic heart diease - ✔✔bacteria from strep throat infects and damages valves- mitral valve. back
flow of blood= murmer
mitral valve prolapse - ✔✔mvp= upward, redundant motion of valve leafeletsinto left atrium.
Hypothryoidism/ heridetory
antibiotic prophylaxis - ✔✔prevents subacute bacteriam endocarditis. damage to heart valves/ systemic
infection
prosthetic valves post op - ✔✔anticoagulants, prophylactic antibiotics
hypertension - ✔✔above 120/80
