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Medical History

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Term
Definition
ASA I   Healthy patient, able to walk one flight of stairs with no distress, BP <120-<80  
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ASA II   Mild systemic disease, well-controlled chronic conditions, healthy pregnant woman, Prehypertension & Stage 1 hypertension  
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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  
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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,  
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ASA V   Patient is moribund and not expected to survive  
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Stress   causes most dental emergencies such as stroke, epileptic seizure or raised blood pressure  
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Amoxicillin dose   2g  
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Cephalexin dose for penicillin allergy   2g  
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Clindamycin dose for penicillin allergy   600 mg  
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Azithromycin or Clarithromycin dose for penicillin allergy   500 mg  
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Normal body temperature   96.0 to 99.5 F typically 98.6F  
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Normal respirations   14-20 per minute  
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Normal pulse   60-100 per minute  
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Normal blood pressure   <120-<80  
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Pre-hypertension   120-139 over 80-89  
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Stage 1 hypertension   140-159 over 90-99  
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Stage 2 hypertension   >160 over >100  
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Conditions that require antibiotics before dental care   Artificial cardiac valves, joint replacements, previous bacterial endocarditis, transplants,  
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Infective endocarditis   an inflammation of the heart valves and lining of the heart as a result of bacterial infection  
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Leukemia   abnormal proliferation of leukocytes  
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Thrombocytopenia   Number of platelets are reduced, most common bleeding disorder,  
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Blood thinners   warfarin, coumadin, aspirin, acetaminopnen expect more bleeding  
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Sickle Cell Anemia   Red blood cell disorder, anemic Take folic acid supplement  
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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  
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Created by: schubring
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