Week 8 - MHx, Vital Signs, Medical Emergencies

vital signs

temperature, pulse rate, respiration rate, bp

oral, ear, rectal, axilla, forehead

what are the 5 sites used to take temp?

36-38 degrees C

what is the acceptable range for temp?

tachycardia

above 100 beats per minute; abnormally elevated heart rate; normal response to stress or physical exercise

bradycardia

below 60 beats per minute; abnormally slow heart rate; athletes may be this at reset as a result of physical conditioning

radial pulse

thumb side of inner wrist; clinician’s finger tips of first two fingers are used to feel for pulse - never use your thumb as it has its own pulse

carotid pulse

located on side of neck - alternative site

60-100 BMP

what is the avg bmp?

12-20 BMP

what is normal adult respiration rate?

20-30 BMP

what is the normal children respiration rate?

blood pressure

force exerted by the blood against the arterial walls when the heart contracts; chronic hypertension causes thickening and loss of elasticity in arterial wall

systolic blood

pressure measures maximum pressure occurring in the blood vessels during cardiac ventricular contraction - first heart sound is heard

diastolic blood

pressure measures minimum pressure occurring against the arterial walls as a result of cardiac ventricular relaxation - last heart sound is heard

outside of paper chart, front page of personal info, medical update page, record of care

where are medical alerts placed?

no fixed age in ontario but general rule, children under 12, should have consent by parent

what is age of informed consent?

stress reduction protocols

based on the belief that the prevention or reduction of stress should start before the dental appointment, continue throughout treatment, and follow through into the postoperative period

unresponsiveness

requires immediate basic life support steps to be implemented

chest compressions, airway, breathing

cab