DH 101 Quiz 2 (Ch 9, 10,11, 12, 13, 16)-
Graded A
Know the relationship between the patient record and legal evidence - ANS-The patient
record is legal evidence in any legal action
Patient records - ANS-Serve as a basis for the evaluation of the quality of care and aid
when a review is made of the effectiveness of patient care practices
Describe HIPAA (Health Insurance Portability and Accountability Act) - ANS--Provides
federal privacy standards protecting patient records- Law went into effect in April 2003-
It came to be due to electronic patient information- The concern is for patient oral health
privacy
Pertaining to a patient's premedication (before and after treatment), understand when
the dose needs to be taken, and know what course of action to take if patient says
he/she is already taking an antibiotic for a different illness - ANS-* Dose needs to be
taken an hour before and after the dental treatment for complete coverage. New
guidelines says dose can be taken up to 2 hours after appt
*If already on an antibiotic for something else, patients still need to take a premedication
antibiotic from a different class for complete coverage
Know why a patient needs a premedication if they have certain health issues
(endocarditis prophylaxis) - ANS-To protect from the possibility of creating a bacteremia
and infectious endocarditis when oral tissues (gingiva) are manipulated in any way,
periapical region of teeth, and perforation of the oral mucosa
Know what helps our patients remember to take their premedication before they arrive
to the dental appt - ANS-A telephone screening interview when patient calls for appt or
when office personnel call the patient
What is the clinicians' first course of action for a patient who has not taken a
premedication but has heart concerns noted on health history interview - ANS-Call
patient's MD concerning the heart and the need for a pre-med antibiotic
What do we need from a patient's physician when calling about possible need for a
premedication - ANS-Written statement concerning the need for or against an antibiotic
premedication
, Medical conditions that require antibiotic premedication before dental treatment - ANS--
Prosthetic cardiac valve - endocarditis - CHF or CHD - Cardiac transplantation
Systolic BP - ANS-Ventricular contraction - normal adult less than 120 mm Hg
Diastolic BP - ANS-Ventricular relaxation - normal adult less than 80 mm Hg
Pulse Pressure - ANS-difference between systolic and diastolic pressure
Bradycardia - ANS-Unusually slow heart beat (rate) - below 50 BPM
Tachycardia - ANS-Unusually fast heart beat (over 100 BPM)
Pulse - ANS-60-100 BPM
Pyrexia - ANS-Fever; temperature over 99.5F
Hyperthermia - ANS-temperature over 104F
Hypothermia - ANS-Temperature below 96F
Four vital signs plue the new 5th vital sign - ANS-- Pulse- Respiration- BP-
Temperature- Smoking
Respiration - ANS-Normal 12 to 20/min
below 12/min bradypnea
over 28/min tachypnea
Which artery the end-piece of the stethoscope is placed when taking BP - ANS-Brachial
artery
Know what "ASA" physical status classification stands for - ANS-American Society of
Anesthesiologists
ASA I - ANS-normal healthy patient
ASA II - ANS-A patient with mild systemic disease
ASA III - ANS-A patient with severe systemic disease that limits activity but is not
incapacitating
ASA IV - ANS-A patient with an incapacitating systemic disease that is a constant threat
to life
ASA V - ANS-a moribund patient not expected to survive 24 hours with or without care
Graded A
Know the relationship between the patient record and legal evidence - ANS-The patient
record is legal evidence in any legal action
Patient records - ANS-Serve as a basis for the evaluation of the quality of care and aid
when a review is made of the effectiveness of patient care practices
Describe HIPAA (Health Insurance Portability and Accountability Act) - ANS--Provides
federal privacy standards protecting patient records- Law went into effect in April 2003-
It came to be due to electronic patient information- The concern is for patient oral health
privacy
Pertaining to a patient's premedication (before and after treatment), understand when
the dose needs to be taken, and know what course of action to take if patient says
he/she is already taking an antibiotic for a different illness - ANS-* Dose needs to be
taken an hour before and after the dental treatment for complete coverage. New
guidelines says dose can be taken up to 2 hours after appt
*If already on an antibiotic for something else, patients still need to take a premedication
antibiotic from a different class for complete coverage
Know why a patient needs a premedication if they have certain health issues
(endocarditis prophylaxis) - ANS-To protect from the possibility of creating a bacteremia
and infectious endocarditis when oral tissues (gingiva) are manipulated in any way,
periapical region of teeth, and perforation of the oral mucosa
Know what helps our patients remember to take their premedication before they arrive
to the dental appt - ANS-A telephone screening interview when patient calls for appt or
when office personnel call the patient
What is the clinicians' first course of action for a patient who has not taken a
premedication but has heart concerns noted on health history interview - ANS-Call
patient's MD concerning the heart and the need for a pre-med antibiotic
What do we need from a patient's physician when calling about possible need for a
premedication - ANS-Written statement concerning the need for or against an antibiotic
premedication
, Medical conditions that require antibiotic premedication before dental treatment - ANS--
Prosthetic cardiac valve - endocarditis - CHF or CHD - Cardiac transplantation
Systolic BP - ANS-Ventricular contraction - normal adult less than 120 mm Hg
Diastolic BP - ANS-Ventricular relaxation - normal adult less than 80 mm Hg
Pulse Pressure - ANS-difference between systolic and diastolic pressure
Bradycardia - ANS-Unusually slow heart beat (rate) - below 50 BPM
Tachycardia - ANS-Unusually fast heart beat (over 100 BPM)
Pulse - ANS-60-100 BPM
Pyrexia - ANS-Fever; temperature over 99.5F
Hyperthermia - ANS-temperature over 104F
Hypothermia - ANS-Temperature below 96F
Four vital signs plue the new 5th vital sign - ANS-- Pulse- Respiration- BP-
Temperature- Smoking
Respiration - ANS-Normal 12 to 20/min
below 12/min bradypnea
over 28/min tachypnea
Which artery the end-piece of the stethoscope is placed when taking BP - ANS-Brachial
artery
Know what "ASA" physical status classification stands for - ANS-American Society of
Anesthesiologists
ASA I - ANS-normal healthy patient
ASA II - ANS-A patient with mild systemic disease
ASA III - ANS-A patient with severe systemic disease that limits activity but is not
incapacitating
ASA IV - ANS-A patient with an incapacitating systemic disease that is a constant threat
to life
ASA V - ANS-a moribund patient not expected to survive 24 hours with or without care
