Temporarily Offline
This is the most common medical emergency in the dental office and is usually caused by temporary decreased blood flow to the brain. Extra points for how to manage this emergency.
What is syncope?
Modified trendelenburg, airway, O2 5-6 L/min breathing, monitor vitals, cold compress, possible ammonia capsule
What is hyperventilation?
Patient experiences chest pain that often is described as crushing, squeezing or heavy feeling possibly radiating to the neck, shoulder, or jaw. At times physical presentation may include cyanotic, pale or ashen appearance with weakness, nausea and cold sweats. Patients may also report air hunger.
How do patients experiencing a Myocardial Infarction present?
Huddles take place at this time during the day.
What is 15 minutes before the first patient?
Name two items that do not go into the ultrasonic cleaner.
Handpieces and cavitron inserts.
Sudden facial drooping, arm weakness, and speech difficulty are classic signs of this medical emergency. Extra credit for management of this emergency.
What is a cerebrovascular accident stroke?
Activate EMS, semireclined, O2 if dyspnea or cyanotic**vasoconstriction, monitor ABC.
A patient experiencing wheezing, chest tightness, and shortness of breath during treatment is most likely having this medical emergency.
Extra points for management of this emergency. (also when is EMS activated)
Asthma attack
two deep inhalations of B2 agonist like Albuterol, repeat two inhalations after 5 minutes and if conditions worsen then activate and consider epi 0.3 mg of 1:1000 IM. repeat every 20 min prn
This drug is used sublingually to treat patients currently experiencing chest pains. Extra credit for dose, concentration, and maximum dose.
Nitroglycerin 0.4 mg sublingually every 5 minutes. 3 doses max before activating emergency response.
To be a distinctive medical practice dedicated to the enrichment of interpersonal relationships by promoting positive energy and uplifting spirit in all that we do.
What is the vision statement of Cypress Dentist Office?
This instrument is used to hold sutures.
What is a castroviejo?
During a generalized tonic-clonic seizure, the dental team should protect the patient from injury but avoid doing this. Extra points for management of this emergency.
What is placing anything in the patient's mouth?
Supine, ensure patient safety, oxygen, activate EMS if convulsions last more than 5 minutes.
Management of this medical emergency involves the use of epinephrine 0.3 mg- 0.5 mg 1:1000 IM (repeated every 5-10 minutes prn) and the use of 5-6 L/min of O2.
What is anaphylaxis?
After administering 3 doses of nitroglycerin to a patient, the chest pain has not resolved. What do you do next?
Adminsiter aspirin 325 mg and activate EMS.
This process is done for recall PM patients with unresolved periodontal pocketing. (3 things)
What is Bac decon, irrigation, & perio referral?
What is the proper way to set up a palodent ring outside of the patient mouth?
Attached to a long piece of floss and tied to a bite block.
Your patient becomes sweaty, confused, shaky, incoherent, and has increased heart rate. You ask them if they’ve eaten anything, they deny having any food. What are they likely experiencing and what can you administer?
Hypoglycemia and you can give them fast acting oral glucose.
You place topical gel in the patient mouth, after waiting a full 2 minutes you begin to anesthetize. About 20 minutes later the patient reports feeling itchy in the area. They report no issues with breathing and their blood pressure/pulse is normal. What should you do?
Dispense 25-50 mg of diphenhydramine (Benadryl). Repeat dose every 6 hours.
DAILY DOUBLE
Angina pectoris
What is concept of “role fluidity” & how does it apply in our office?
No role concepts, we are a team of one and work together despite our designated roles.
Oral DNA salivary diagnostics test for these two components.
What are the 11 different oral bacteria involved in periodontal disease and the interleukin-6 gene?
Patient becomes unresponsive during treatment, exhibits apnea, cyanosis, no pulse and blood pressure. What are they experiencing and what do you do?
Patient likely experiencing cardiac arrest.
Position patient supine and initiate BLS & immediately activate EMS. Retrieve & use AED.
PCABD
How do you differentiate between a patient experiencing mild allergic reaction vs anaphylaxis?
Mild allergic reactions involve only one system/organ and is slow to develop. Anaphylaxis involves multiple systems/organs and has rapid appearance of symptoms.
more specifically:
respiratory: normal breathing/sneezing vs Wheezing, stridor, throat tightness, hoarseness
circulatory: Normal BP/pulse vs Hypotension, dizziness, fainting, pale/blue skin
What is the primary difference between angina pectoris and a myocardial infarction? (Extra points for delineating the difference both physiologically and in patient presentation)
The extent of reduction in blood supply. Temporarily reduction versus complete occlusion/blockage.
systemic presentation: sweating, nausea, dizziness, difficulty breathing. Duration of symptoms usually less than 15 min for angina.
Under the section labeled “Office Brand. We are…,” there are 5 attributes that define our office brand. Name the 5 characteristics. (100 pts/correct answer)
1) one cohesive unit
2) second family
3) selflessness
4) clinical excellence
5) compassionate & empathetic care
This milling parameter on the Sirona Cerec software accounts for occlusal thickness deviations caused by flexure of diamond burs when milling crowns.
What is the occlusal offset setting?