DENTAL MANAGEMENT OF THE MEDICALLY
COMPROMISED PATIENT LITTLE KEY
CONCEPTS AND PRACTICE QUESTIONS
◉ - manipulation of gingival tissue
- manipulation of periapical region of teeth
- perforation of oral mucosa.
Answer: For the patients stated in the ADA guidelines, *antibiotic
prophylaxis* is recommended for all dental procedures that involve
_____
◉ 2.
Answer: according to the endocarditis prevention guidelines: if the
dosage of antibiotic is inadvertently not administered before the
procedure, the dosage may be administered up to _____ *hrs* after
the procedure
◉ a different.
Answer: if a patient who requires prophylaxis for endocarditis
prevention is already taking an antibiotic, the dentist should select
an antibiotic from _____ *(the same / a different)* class
◉ memorize.
,Answer: "memorize"
◉ amoxicillin, 2 g, 50 mg/kg.
Answer: for antibiotic prophylaxis of endocarditis:
- the *standard oral* agent is _____ *(drug)* taken *30-60 min* before
procedure, _____ *(dose)* for adults or _____ *(dose)* for children
◉ ampicillin, 2 g IM or IV, 50 mg/kg IM or IV.
Answer: for antibiotic prophylaxis of endocarditis:
- the standard *non-oral* agent is _____ *(drug)* taken *30-60 min*
before procedure, _____ *(dose and administration)* for adults or
_____ *(dose and administration)* for children
◉ clindamycin, 600 mg, 20 mg/kg.
Answer: for antibiotic prophylaxis of endocarditis:
- an *oral* agent if *allergic to penicillins or ampicillin* is _____
*(drug)* taken *30-60 min* before procedure, _____ *(dose)* for
adults or _____ *(dose)* for children
◉ clindamycin phosphate, 600 mg IM or IV, 20 mg/kg IM or IV.
Answer: for antibiotic prophylaxis of endocarditis:
- a *non-oral* agent if *allergic to penicillins or ampicillin* is _____
*(drug)* taken *30-60 min* before procedure, _____ *(dose and
, administration)* for adults or _____ *(dose and administration)* for
children
◉ are not.
Answer: in general, for patients with *prosthetic joint implants*,
prophylactic antibiotics _____ *(are / are not)* recommended prior to
dental procedures to prevent prosthetic joint infection
◉ hypertension.
Answer: an abnormal elevation in arterial pressure that can be fatal
if sustained and untreated
◉ 2 years (normal), 1 year (prehypertension), 2 months (Stage 1), 1
month (Stage 2), 1 week (>180/110 mm Hg).
Answer: What is the recommended follow-up for each blood
pressure classification (regarding hypertension)?
Normal:
Prehypertension:
Stage 1:
Stage 2:
Crisis:
◉ primary (essential) (hypertension).
COMPROMISED PATIENT LITTLE KEY
CONCEPTS AND PRACTICE QUESTIONS
◉ - manipulation of gingival tissue
- manipulation of periapical region of teeth
- perforation of oral mucosa.
Answer: For the patients stated in the ADA guidelines, *antibiotic
prophylaxis* is recommended for all dental procedures that involve
_____
◉ 2.
Answer: according to the endocarditis prevention guidelines: if the
dosage of antibiotic is inadvertently not administered before the
procedure, the dosage may be administered up to _____ *hrs* after
the procedure
◉ a different.
Answer: if a patient who requires prophylaxis for endocarditis
prevention is already taking an antibiotic, the dentist should select
an antibiotic from _____ *(the same / a different)* class
◉ memorize.
,Answer: "memorize"
◉ amoxicillin, 2 g, 50 mg/kg.
Answer: for antibiotic prophylaxis of endocarditis:
- the *standard oral* agent is _____ *(drug)* taken *30-60 min* before
procedure, _____ *(dose)* for adults or _____ *(dose)* for children
◉ ampicillin, 2 g IM or IV, 50 mg/kg IM or IV.
Answer: for antibiotic prophylaxis of endocarditis:
- the standard *non-oral* agent is _____ *(drug)* taken *30-60 min*
before procedure, _____ *(dose and administration)* for adults or
_____ *(dose and administration)* for children
◉ clindamycin, 600 mg, 20 mg/kg.
Answer: for antibiotic prophylaxis of endocarditis:
- an *oral* agent if *allergic to penicillins or ampicillin* is _____
*(drug)* taken *30-60 min* before procedure, _____ *(dose)* for
adults or _____ *(dose)* for children
◉ clindamycin phosphate, 600 mg IM or IV, 20 mg/kg IM or IV.
Answer: for antibiotic prophylaxis of endocarditis:
- a *non-oral* agent if *allergic to penicillins or ampicillin* is _____
*(drug)* taken *30-60 min* before procedure, _____ *(dose and
, administration)* for adults or _____ *(dose and administration)* for
children
◉ are not.
Answer: in general, for patients with *prosthetic joint implants*,
prophylactic antibiotics _____ *(are / are not)* recommended prior to
dental procedures to prevent prosthetic joint infection
◉ hypertension.
Answer: an abnormal elevation in arterial pressure that can be fatal
if sustained and untreated
◉ 2 years (normal), 1 year (prehypertension), 2 months (Stage 1), 1
month (Stage 2), 1 week (>180/110 mm Hg).
Answer: What is the recommended follow-up for each blood
pressure classification (regarding hypertension)?
Normal:
Prehypertension:
Stage 1:
Stage 2:
Crisis:
◉ primary (essential) (hypertension).
