Clinic 175 Final

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  1. Ultrasonic uses what kind of energy?
    High frequency vibrations; soundwaves
  2. If you have a patient with a hearing aid and you are going to use the Ultrasonic, what would you tell your patient?
    To turn the hearing aid down or off.
  3. If you have a legally blind patient can they bring in a service dog with them?
  4. Ultrasonic functions
    • Mechanical removal or cleaning
    • Cavitation or cools
    • Irrigation or lavage
  5. What disease can be spread through the ultrasonic's aerosols?
    • TB
    • Hepatitis
    • Respiratory Infections
  6. Does PPE decrease the risk of aerosols?
  7. Ultrasonic contraindications
    • Children
    • Titanium Implants
    • Exposed dentinal surfaces
    • Demineralized areas
    • Cardiac pacemaker
    • Swallowing difficulties
    • Respiratory infections
    • Susceptibility to infection (immunosuppressive)
  8. When do you flush the water lines?
    Before and after patient and in between patients
  9. How long do you flush the cavitron water line?
    For 2 minutes
  10. Which is best for a patient with heavy stain and heavy calculus, Sonic scaler or Ultrasonic?
  11. How far does the tip of the Prophyjet need to be from the tooth surface?
  12. What is Blue Bloater?
    Chronic bronchitis: excessive mucous production
  13. Blue Bloater Characteristics
    • Chronic cough with sputum
    • Overweight / edematous
    • Cyanotic and breathless
    • Increased respiratory rate (issues inhaling and exhaling
    • Acidosis
    • Hypoxia
    • Hypercapnia
    • Cor pulmonale ( RVHF)
    • Cardiac enlargement
  14. What is Pink Puffer?
    Emphysema: destruction of alveolar walls
  15. Pink Puffer Characteristics
    • CO2 Retention ; pink 
    • Exertional dyspnea (exhaling issues)
    • Weak, non-productive cough; wheeze 
    • Purse lip breathing 
    • Speaks in short jerky sentences 
    • Weight loss
    • Orthopneic 
    • Chest wall expands to give “barrel chest”
    • Digital clubbing
  16. Cystic Fibrosis
    • Inherited condition (autosomal recessive) that effects the lungs, pancreas, and liver. Sticky mucous blocks passageways for respiratory and digestive systems.
    • No cure
  17. When should you give OHI?
    After probing and PFS and before scaling
  18. Normal Blood Pressure
  19. Prehypertensive
  20. Stage 1 HTN
  21. Stage 2 HTN
  22. Hypertension S & S
    • Confusion 
    • Ear noise 
    • Irregular heartbeat 
    • Nosebleed 
    • Vision changes 
    • Headache 
    • tiredness
  23. What does epinephrine do?
    • Constricts blood vessels
    • Broncho dilator
    • Concentrates anesthetic in desired area and prevents dissipation of LA
  24. Hypertension puts patients at risk for:
    • CVD 
    • Coronary Atherosclerosis 
    • Ischemic Heart Disease 
    • CVA 
    • Renal Disease/Renal Failure
  25. When should you appoint a patient with a shunt for dialysis?
    Day after dialysis
  26. When should you appoint a diabetic patient?
    In the morning
  27. When should you appoint a patient undergoing chemotherapy?
    Treat the day before they start chemo
  28. If your patient forgot to take there premed what procedures can you do?
    • X-rays
    • EOE
    • IOE that does not manipulate gingiva
  29. The wheelchair accessible door width should be ___ inches.
  30. OHI and the special needs patient
    • OHI for self care depend on the patient’s motor coordination. 
    • Self sufficiency is encouraged when possible
    • Patients with mental disabilities OHI should be given to the caregiver
  31. What is the most common disease seen in diabetic patients?
    Periodontal disease
  32. Which hepatitis virus will most likely result in chronic liver failure?
    Hepatitis C
  33. What is the most common seen oral manifestation in a patient with HIV?
  34. Fetal Alcohol Syndrome Characteristics
    • Smooth philtrum
    • Epicanthal folds
    • Low and flat nasal bridge
    • Hockey stick palmar crease
    • webbed fingers and toes
  35. What are some causes of xerostomia?
    • Medications
    • Radiation
    • Chemotherapy
    • Some disorders
  36. How do we treat xerostomia?
    • Nutritional counseling- no alcohol, limit sodium intake, and avoid sugar
    • Fluoride-for increased risk of caries
    • Xylitol
    • Artifical saliva
  37. Down Syndrome Characteristics
    • Chromosomal abnormality. 
    • IQ usually <70 
    • Short with short neck 
    • Short underdeveloped nose 
    • Oblique laterally slanted eyes 
    • Short stubby fingers, palm has a single transverse crease
    • Macroglossia
    • Excessive saliva
    • Class III occlusion
  38. Chemotherapy can lead to what eating disorder?
  39. What oral manifestations are associated with Kidney disease?
    • radiographic:  loss of lamina dura, demineralized “ground glass” bone, localized radiolucent jaw lesions, wider trabecular spaces 
    • xerostomia
  40. Hypoglycemia can lead to:
    Insulin shock
  41. Hyperglycemia can lead to:
    Diabetic coma
  42. What does nitroglyercin do?
    Helps with angina by dilating vascular smooth muscle
  43. Name one association that you make with CHF?
  44. How do CHF patients need to be seated?
  45. Rule of 2's
    Steriods:20mg or greater for 2 weeks or longer
  46. Progressive Diseases
    • Muscular Dystrophy
    • MS
    • Parkinsons
    • Osteoarthritis
    • Rheumatoid arthritis
    • End Stage Renal Disease
    • Renal Failure
    • Basal Cell Carinoma
    • Hyperthyroidism
    • HIV
  47. Inflammatory Disorders
    • Hepatitis
    • Ulcerative colitis
    • Crohn's
    • Rheumatoid Arthritis
  48. Noninflammatory Disorders
  49. Cancer patients receiving head and neck radiation are most likely to get, what?
Card Set:
Clinic 175 Final
2013-07-31 01:08:40

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