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