What are some important bits of information to collect about an asthmatic patient?
Any medications
Steroids?
Controlled?
Get worse in stressful situations
What oral conditions are asthatics more at risk of?
Oropharyngeal candidiasis and caries - use of cortiosteroids (brown inhaler)
Increased gingivitis risk as oral breathers
Increased risk of xerostomia.
What drugs are contra-indicated in asthmatics
NSAIDS, asprin, opiods.
What is the relevence of COPD in dentistry
Can worsen during treatment, must treat patient in vertical position.
How do we manage a patient with TB
Postpone tx untill no longer infective
- if urgent rubber dam.
What questions should we ask about a cough
, Duration, productive (sputum), haemoptysis
What do we need to ask diabetic patients?
1- taken medication that moringing?
2- Had breakfast - avoid hypoglycaemic episode
3- If all are well controlled
4- if they have eaten normally in last 2-3 days
5- Ensure they have a sugary drink/something to eat before treatment
6- ensure emergency drugs are available.
What do we ask epilepsy patients?
1. Are their fits controlled
2. when was last fit
3. what form do their fits take
4. do they get an aura ( concious seizure which usually happens before bigger seizure)
5. do they usually happen at certain times of day
6. what precipitated their last 3 seizures
7. Any recent changes in medication
8. ensure buccal midazolam is available.
What do we need to now about hypertensive patients
What is their blood pressure, is it controlled, what medication are they on xerostomia,
DIGO
Whar is the limit of hypertension where we would considering postponing treatment
untill it is better controlled?
160-100mmhg
What are the treatment guidelines for patients with a previous MI
Within last 3 months- no treatment
Mi within the last 6 months - no GA
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