L10. Dental Management of Neurological Disease

"What BP condition is a major stroke risk factor?

Hypertension"

"What cardiac condition increases stroke risk?

Congestive heart failure"

"What metabolic disease increases stroke risk?

Diabetes mellitus"

"What prior neurologic event increases stroke risk?

TIA or previous CVA"

"What age threshold increases stroke risk?

Greater than 75 years"

"What lipid abnormality increases stroke risk?

Elevated cholesterol"

"What vascular disease increases stroke risk?

Coronary atherosclerosis"

"What arrhythmia increases stroke risk?

Atrial fibrillation"

"What lifestyle factor increases stroke risk?

Smoking"

"What does TIA stand for?

Transient Ischemic Attack"

"What does CVA stand for?

Cerebrovascular Accident"

"Why is first 90 days post-stroke important?

Highest recurrence risk"

"When is routine dental care safe post-stroke?

After 90 days if stable"

"Why avoid NSAIDs post-stroke?

Bleeding risk"

"Max epi stroke

2 carpules lidocaine 1:100k or 1:200k"

"Why avoid epi cord stroke

Systemic absorption risk"

"Which antibiotics affect warfarin metabolism?

Metronidazole tetracycline"

"Warfarin mechanism

Vitamin K dependent anticoagulant"

"Safe INR dental

"Local hemostasis example 1

Pressure"

"Local hemostasis example 2

Sutures"

"Local hemostasis example 3

Gelfoam"

"Local hemostasis example 4

Thrombin"

"Antiplatelet example 1

Aspirin"

"Antiplatelet example 2

Clopidogrel"

"Antiplatelet example 3

Dipyridamole"

"NOAC example 1

Apixaban"

"NOAC example 2

Rivaroxaban"

"NOAC example 3

Edoxaban"

"NOAC example 4

Dabigatran"

"FAST face sign

Facial droop"

"FAST arm sign

Arm drift"

"FAST speech sign

Slurred speech"

"FAST action

Call 911"

"Stroke oral symptom 1

Dysphasia"

"Stroke oral symptom 2

Dysphagia"

"Stroke oral symptom 3

Tongue deviation"

"Stroke oral symptom 4

Unilateral paralysis"

"Epileptic cry cause

Diaphragm spasm"

"Tonic phase breathing

May stop"

"Clonic phase duration

~60 sec"

"Seizure aura example

Unusual smell or vision"

"Epilepsy question 1

Type of seizure"

"Epilepsy question 2

Age onset"

"Epilepsy question 3

Cause"

"Epilepsy question 4

Medication"

"Epilepsy question 5

Control level"

"Epilepsy question 6

Last seizure"

"Epilepsy question 7

Triggers"

"Drug increasing seizure threshold example

Levetiracetam"

"Drug lowering seizure threshold example

Alcohol"

"Valproic bleeding mechanism

Platelet dysfunction"

"Phenytoin oral effect

Gingival hyperplasia"

"Carbamazepine side effect

Xerostomia"

"Carbamazepine interaction

Erythromycin increases toxicity"

"SJS cause example

Antiepileptics"

"SJS rash description

Blistering mucocutaneous rash"

"Seizure chair position

Supine supported"

"During seizure dental action 1

Stop treatment"

"During seizure dental action 2

Turn patient lateral"

"During seizure dental action 3

Do not insert objects"

"Post seizure oxygen

100% O2"

"Seizure EMS drug

Lorazepam"

"Alternate seizure drug

Diazepam"

"Parkinson hallmark

Tremor"

"Parkinson oral issue

Drooling"

"Parkinson brushing aid

Electric toothbrush"

"Levodopa side effect

Dyskinesia"

"Dopamine agonist risk

Hypotension"

"Best dental timing Parkinson

2-3 hours post meds"

"Memantine mechanism

NMDA antagonist"

"Donepezil class

Cholinesterase inhibitor"

"Cholinesterase inhibitor side effect 1

Nausea"

"Cholinesterase inhibitor side effect 2

Vomiting"

"Cholinesterase inhibitor side effect 3

Weight loss"

"Avoid NSAIDs dementia

GI bleed risk"

"MS trigeminal symptom

Facial pain"

"MS onset pattern

Progressive over days"

"MS remission dental

Best time for care"

"MS immunosuppressive risk

Infection"

"CSF shunt purpose

Reduce CSF pressure"

"CSF shunt infection rate

5-15%"

"CSF shunt bacteria

Staphylococcal"

"CSF shunt prophylaxis dental

Not required"

"Reinforcement card 1: What is key stroke risk factor?

Hypertension"

"Reinforcement card 2: What is key stroke risk factor?

Hypertension"

"Reinforcement card 3: What is key stroke risk factor?

Hypertension"

"Reinforcement card 4: What is key stroke risk factor?

Hypertension"

"Reinforcement card 5: What is key stroke risk factor?

Hypertension"

"Reinforcement card 6: What is key stroke risk factor?

Hypertension"

"Reinforcement card 7: What is key stroke risk factor?

Hypertension"

"Reinforcement card 8: What is key stroke risk factor?

Hypertension"

"Reinforcement card 9: What is key stroke risk factor?

Hypertension"

"Reinforcement card 10: What is key stroke risk factor?

Hypertension"

"Reinforcement card 11: What is key stroke risk factor?

Hypertension"

"Reinforcement card 12: What is key stroke risk factor?

Hypertension"

"Reinforcement card 13: What is key stroke risk factor?

Hypertension"

"Reinforcement card 14: What is key stroke risk factor?

Hypertension"

"Reinforcement card 15: What is key stroke risk factor?

Hypertension"

"Reinforcement card 16: What is key stroke risk factor?

Hypertension"