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Lecture 1

Medical History

ASA I Healthy patient, able to walk one flight of stairs with no distress, BP <120-<80
ASA II Mild systemic disease, well-controlled chronic conditions, healthy pregnant woman, Prehypertension & Stage 1 hypertension
ASA III Systemic disease that limits activity but no incapacitating, must stop en route walking one flight of stairs, chronic cardio conditions, controlled insulin dependent diabetes, chronic pulmonary disease, elevated blood pressure, Stage 2 hypertension
ASA IV Incapacitating disease that is a constant threat to life, unable to walk up one flight of stairs, unstable cardio conditions, uncontrolled epilepsy, uncontrolled insulin dependent diabetes, BP >180 ->110,
ASA V Patient is moribund and not expected to survive
Stress causes most dental emergencies such as stroke, epileptic seizure or raised blood pressure
Amoxicillin dose 2g
Cephalexin dose for penicillin allergy 2g
Clindamycin dose for penicillin allergy 600 mg
Azithromycin or Clarithromycin dose for penicillin allergy 500 mg
Normal body temperature 96.0 to 99.5 F typically 98.6F
Normal respirations 14-20 per minute
Normal pulse 60-100 per minute
Normal blood pressure <120-<80
Pre-hypertension 120-139 over 80-89
Stage 1 hypertension 140-159 over 90-99
Stage 2 hypertension >160 over >100
Conditions that require antibiotics before dental care Artificial cardiac valves, joint replacements, previous bacterial endocarditis, transplants,
Infective endocarditis an inflammation of the heart valves and lining of the heart as a result of bacterial infection
Leukemia abnormal proliferation of leukocytes
Thrombocytopenia Number of platelets are reduced, most common bleeding disorder,
Blood thinners warfarin, coumadin, aspirin, acetaminopnen expect more bleeding
Sickle Cell Anemia Red blood cell disorder, anemic Take folic acid supplement
Diabetes metabolic disorder caused primarily by a defect in the production of insulin by the islet cells of the pancreas resulting in an inability to use carbohydrates, Type I and Type II
Created by: schubring