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Medical Emergencies

Chapter 1 & 3

Atrial Tachycardia rapid heart rate more than or equal to 150 beats per minute
Bradycardia a heart rate less than 60 bpm, with normal electrocardiogram (ECG)
Diastolic Blood Pressure the pressure in arteries when the heart rests, or between beats
Hypertension blood pressure measurements of 140/90 mm Hg or higher
Metabolic Equivalents (METs) a measurement of the ability to perform common daily tasks
Systolic Blood Pressure the pressure in arteries during ventricular contraction, or when the heart beats
Tachyarrhthmia a fast, irregular heart rate, usually over 150 bpm
Tachycardia a heart rate in excess of 100 bpm with normal ECG
Blood Dyscrasia an abnormal condition where components of the blood contain an overabundance of certain cells, immature cells, or inadequate quantities of cellular elements, such as in leukemia or hemophila
Crepitation a clicking or popping sound as the jaw is opened
Etiology the cause of any condition or disease
Hyperventilation excessive intake of oxygen and exhalation of carbon dioxide; fast breathing often precipitated by anxiety
Postural Hypotension reduction in blood pressure, usually as a result of a drug side effect; leading to loss of consciousness due to cerebral ischemia
Syncope fainting; temporary loss of consciousness due to cerebral ischma
Tetany sharp flexion of the wrist and fingers, muscle twitches caused by a decrease in the concentration of extracellular joint
ASA is an acronym for what? American Society of Anesthesiolgist
ASA I normal healthy pt.
ASA I able to walk up one flight of stairs or 2 city blocks without distress
ASA I little or no anxiety
ASA I little or no risk
ASA I supervising DDS will not need to be made aware of the presence of this pt. before Tx
ASA II pt. have mild to moderate systemic disease of is a healthy ASA I who demonstrates more extreme anxiety of dentistry
ASA II pt. is able to walk up a flight of stairs or 2 blocks, but have to rest afterwards because of distress
ASA II minimal risk during Tx
ASA II DDS needs to be made aware prior to Tx
ASA II well controlled non insulin Type II diabetes
ASA II Epilepsy
ASA II Asthma allergy or viral induced asthma
ASA II thyroid conditions
ASA II ASA I with respiratory condition
ASA II ASA I with pregnancy
ASA II ASA I with active allergies
ASA II ASA I with extreme fear
What are some signs and symptoms of acute anxiety? Name three. cold, sweaty palms or forehead, flushing of face, altered facial expressions
ASA III pt. has severe systemic disease that limits activity but is not incapacitating so the pt.'s are able to move around by themselves
ASA III pt. can walk up one flight of stairs or 2 blocks but has to stop during the trip to recuperate
ASA III stress protocol and modified Tx are indicated
ASA III DDS should be aware and may want to examine pt. prior to Tx as well as contact pt.'s physician
ASA III Stable angina pectoris
ASA III excercise induced asthma
ASA III controlled insulin dependent diabetes Type I
ASA III myocardial infarction
ASA III cerebrovascular accident history (heart attack or stroke) greater than six months ago
ASA III congestive heart failure
ASA III chronic cardiovascular conditions
ASA III chronic obstructive pulmonary disease COPD emphysema
ASA III elevated blood pressure
What is the ASA classifications of controlled Type I diabetes? ASA III
What is the ASA classification of uncontrolled Type I diabetes? ASA IV
What is the ASA classification of controlled Type II diabetes? ASA II
What is the ASA classification of uncontrolled Type II diabetes? ASA III
ASA IV severe systemic disease that limits activity and is a constant threat to life
ASA IV pt. is unable to walk up one flight of stairs or 2 blocks
ASA IV distress is present even at rest
ASA IV pt. poses significant risk
ASA IV pt. has a severe medical problem that is of greater importance than the planned dental Tx
ASA IV elective care should be postponed until medical condition has improved to at least ASA III
ASA IV DDS will need to be consulted prior to Tx
ASA IV unstable angina pectoris (sharp chest pains)
ASA IV myocardial infarction or cerebrovascular accident with in the last six months
ASA IV elevated blood pressure 180/110
ASA IV severe congestive heart failure
ASA IV severe chronic obstructive pulmonary disease that requires oxygen
ASA IV uncontrolled epilepsy
ASA IV uncontrolled diabetes type I
ASA IV uncontrolled thyroid condition
ASA V pt. are not expected to survive more than 24 hours with or without an operation
ASA V almost always in the hospital
ASA V terminally ill
ASA V elective dental Tx is contradictated
ASA V except emergency care (palliative) to elevate pain Tx may be necessary
ASA V all care should be done in the hospital
ASA VI clinically dead pt.'s being maintained for organ harvesting
ASA_E emergency operation of any variety
ASA_E used to modify one of the ASA classifications
What is the adult normal respiration rate? 12-18 per minute
What rapid respiration rate should get our attention? 28 per minute
What respiration rate should we activate 911? 60 per minute
What slow respiration rate should get our attention? less than 8 incubate
Children 3-4 years old normal pulse rate is? 80-120 bpm
Children 5-6 years old normal pulse rate is? 75-115 bpm
Children 7-9 years old normal pulse rate is? 70-110 bpm
Children 10 years and older, and adults including seniors pulse rate is? 60-80 bpm
Well trained athletes pulse rate is? 40-60 bpm
What pulse rate is qualified as bradycardia? below 50 bpm
Adult normal blood pressure is? less than 120 and less than 80 120/80
Prehypertension blood pressure is? 120-139/80-89
Stage 1 hypertension blood pressure is? 140-159/90-99
Stage 2 hypertension blood pressure is? 160/100 or greater than
At what blood pressure will we not treat pt.'s at? at or above 180/110
Created by: daisenmurray