Chest Pain
How many 81mg aspirins should your patient chew and then swallow if they are having chest pain?
4
What is the name for a stroke that does not cause permanent damage
TIA (Transient Ischemic Attack)
What is the blood cutoff for elective dental treatment according to the ADA/UTSD?
>160/100
What is worse, a blood pressure cuff that is too big or too small?
Too small
Name 2 possible causes of myocardial ischemia
What is the largest risk factor for ischemic stroke?
Atrial fibrillation
What is the blood cutoff for emergency dental treatment according to the ADA/UTSD?
>180/110
When is hypotension not an emergency?
Due to syncope/peri-syncope, or orthostatic hypotension
Asymptomatic and transient (<10 minutes)
How many times can how often can you administer nitroglycerin?
3x, q5 minutes
Name the 2 types of strokes
Ischemic and hemorrhagic
If a patient is having hypertensive emergency, how should you position them?
Sitting upright
What BP is considered hypotension in a normotensive adult?
SBP <85 or MAP<55
What is the amount of a single dose of nitroglycerin?
0.4mg
What is the acronym for stroke identification and what does it stand for?
FAST Facial drooping, arm drift, slurred speech
Name 3 symptoms of hypertensive emergency
chest pain, shortness of breath, altered mental status, or headache
What BP is considered hypotension in an adult with a baseline MAP of 100?
MAP <70
Name 2 contraindications to nitroglycerin administration
Hypotension and erectile dysfunction medications within the last 24 hours
What oxygen saturation should be targeted during a stroke?
98%
Name 2 medications that epinephrine can interact with to cause profound hypertension
MAOIs, non-selective beta blockers
Name 3 symptoms of symptomatic hypotension
chest pain, shortness of breath, altered mental status, or headache