Asthma
Asthma is classified based on what?
Its trigger
Describe a scenario in which a finger sweep would be necessary
ONLY if object is visible and within reach
Signs/symptoms of FB ingestion are dependent on what?
Where ingested object is located
True or False?
Dental appliances are the most common items involved in aspiraiton.
False- its food!
Respond to the following scenario:
Mr. Jones presents to the ASoD student clinic for treatment. He arrives 20 minutes late and lets you know he had trouble parking and finding the building. As you begin move forward with the appointment, you notice he starts to cough, breathe heavily, and a bluish tint to his lips. When you ask if he is okay, he stares forward and does not respond.
Asthma attack
STOP treatment, sit Mr Jones upright, loosen restrictive clothing, activate CABs CPR, have him administer his bronchodilator.
The most common type of asthma
Extrinsic
While experiencing partial airway obstruction a patient may ____ in an attempt to breathe
Place hands in throat area
Most common location of ingested objects
Oropharyngeal region
Aspiration occurs when a Fb enters the ___
lungs
RAPID FIRE ROUND!
Please choose 1 person from each team to answer.
Rapid fire: list signs and symptoms of foreign body aspiration.
Metabisulfites and NSAIDS
Treatment of airway obstruction if patient ceases coughing and speaking
Heimlich maneuver
What are some things you can do to prevent FB ingestion?
Rubber dam, securing item with floss, exercising caution, throwing out worn/broken instruments
What are the implications if an aspirated FB is not removed?
severe infection/death
Respond to the following scenario...
Following your appointment with Ms Smith, you are having pleasant conversation while completing her check-out note. Meanwhile, she takes a hard candy from her purse and eats it. You notice she abruptly stops speaking. You turn and notice she looks panicked and is making no noise.
Complete Airway Obstruction
Perform heimlich maneuver until..
LOC/Object expulsion. If occurs:
Ems, supine, open/inspect airway, CABs CPR, document
Bronchodilators/corticosteriod inhalers increase the risk of what 3 oral conditions?
Caries, periodontal disease, candadiasis
This noise, resembling a crowing sound, may be present during poor air exchange
A stridor
Likelihood of FB ingestion is increased in dentistry due to...
Supine position and small instruments
What are the steps of treatment for FB aspiration?
Stop treatment, EMS, Assess vital, document.
RAPID FIRE ROUND!
Choose 1 person from each time to answer.
Name as many dental considerations from today's lecture as you can!
Name 3 symptoms that differentiate severe asthma from mild asthma.
Rapid aspiration rate, cyanotic lips, decreased awareness, pallor, inability to speak
Describe the dental considerations for FB obstruction
Small instruments/supine position used to treat patients = increased likelihood!
Name 5 symptoms of FB ingestion
Any of these:
Likely next step for patients after aspiration occurs upon EMS response.
Transportation to ED for x-rays to determine what is needed for item removal
Commonality between ALL treatment steps across ALL topics from today...
DOCUMENTATION!