DENTAL HYGIENE OSCE ACTUAL UPDATE OSCE (Vitals, Medical Emergencies, Pharmacology, Classifications/Assessments) Normal Blood Pressure - less than 120/80 Elevated Blood Pressure - 120-129/<80 Stage 1 Hypertension - 130-139/80 -89 Stage 11 Hypertension - 140+/90+ Hypertensive Crisis - 180+/120+ Normal HbA1c - Lower than 5.7% (4% -5.6%) Hyperglycemia - Blood sugar higher than 130 mg/dl fasting or higher than 180 mg/dl after a meal. Hypoglycemia - Blood sugar lower than 70 mg/dl What is insulin shock? - Extreme hy poglycemia What appointment modification can be made for diabetics? - Schedule AM appointments after the patient has had a meal. What are signs of hypoglycemia? - Mild-moderate: dizziness, moodiness, headaches, hunger, shakiness, sweating, confusion, rap id heartbeat. Extreme: fainting, unconsciousness, seizures, coma. Caused by skipping meals, use of insulin or diabetes medication, unusual physical activity, or excessive alcohol consumption. Management of hypoglycemia - Glucose tablet, juice, candy or food with sugar. What are signs of hyperglycemia? - Nausea, confusion, thirst, shortness of breath, fruity (ketone) breath, fatigue, frequent urination. Management of hyperglycemia - Remind patient to take medication What is a normal body temperature? - Adult: 97 -99 degrees (ideal is 98.6 degrees) What is a normal pulse rate? - Adult: 60 -100 BPM Child: 80 -100 BPM Infant: 100 -160 BPM *Taken at lateral or ventral aspect of the wrist or brachial Avery (depression at the bend/antecubital fossa) at the elbow Normal Respiration Rates - Adults: 12 -20 BPM Child: 18 -22 BPM *Allow patient to rest 5 minutes before recording What is Bradypnea? - Slow respiratory rate What is Tachypnea? - Rapid respiratory rate. What is Oraquix ? - An Amide made of Lidocaine & Prilocaine. Applied in the sulcus and takes approx 30 second to take effect. 15 -20 Duration. Maximum of 5 carpules. Basic Life Support - Always check vitals before emergency call -No Response: call emergency and get AED -No Breath: tilt head, 10 -12 rescue breaths per min. -No Pulse: Compressions+breaths. 100 -120 compressions per minute 2 inches deep. Mild Allergy Management - -Administer Benadryl (aka diphenhydramine -
antibistanine) -Keep supine -Oxygen as needed Anaphylaxis Management - -Epinephrine: .2 -.5 for adults, .01 for kids 2-3 times as needed @ 10 -15 minute intervals -Call emergency is recovery isn't quick
antibistanine) -Keep supine -Oxygen as needed Anaphylaxis Management - -Epinephrine: .2 -.5 for adults, .01 for kids 2-3 times as needed @ 10 -15 minute intervals -Call emergency is recovery isn't quick
