Chest Pain In The Dental Office

Experienced nurses find ways of incorporating oral care into regular assessments – combining the two encourages performing the oral hygiene care and saves time. Dale, et al. (2016) quoted an un-named ICU administrator who commented, “I would hope that they are teaching (mouth care) in the critical care curriculum.” Stressing the importance of oral care early in the training of a new critical care nurse should help to solidify the inclusion of oral care into regular daily practice.

Prior to starting medical treatment, I would like to obtain an ECG first to make sure that your chest pain is not related to any heart disease. GERD is most likely the cause of noncardiac chest pain, but it is important for patient safety that we get an ECG to make sure that we don’t overlook the possibility that you are having any cardiac symptoms (Buttaro et al., 2017).

If you have any medical condition, then you will need to inform your physician of this. Gum disease has been linked to many health conditions, such as diabetes and heart disease. Dentists also have to take a patient's overall health into consideration before they administer any anesthetic. Additionally, you should let your dentist if you are allergic to any medication.

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

Heart Attack- Check air ways are free, take out any false teeth, Call emergency services immediately and be advised what to do while waiting for emergency services. NEVER attempt to give first aid assistance if not fully trained

There’s no need to worry about the pain emergency dental care can cause, as Accent Dental is skilled and experienced in the practice of sedation dentistry. Rest assured that if a dental emergency strikes your family, you have a safe and painless option at your disposal: sedation dentistry has minimal side effects, is painless from start to finish, has been tested extensively for safety, and doesn’t require a needle. Don’t let anxiety keep you from obtaining necessary dental care when you can use sedation dentistry for your dentist emergency in Frisco,

Patients experiencing chest pain require immediate assessment, including a twelve lead ECG within the time frame of ten minutes, will provide vital evidence of a cardiac, plueretic or musculoskeletal event (Acute Coronary Care Clinical care standards 2014).

Facilities, performing coronary CTA, should develop and adhere to evidence based coronary CTA protocols for optimal, high quality, cost-effective, patient-centered care. A comprehensive review of the literature was performed using CINAHL, PubMed, MEDLINE, and Medscape search engines, and with the terms ?coronary CTA?, ?protocols?, ?guidelines?, ?radiation?, ?contrast?, ?beta-blockers?, and ?radiology nursing?.

Chest pain is a frequent cause of emergency department presentation. Many times, chest pain can be an indicator of myocardial infarction. Yearly, about 600,000 people die of heart disease in the United States, with a total of about 700,000 having a myocardial infarction. The leading source of death for both men and women is heart disease ("Heart disease facts," 2014). Managing the challenging clinical problems of those presenting with chest pain can be demanding. While clinical judgment is imperative in managing these patients, rapid treatment protocols to evaluate risk

Pathophysiology: This is a disorder characterized by pressure or squeezing pain in the chest due to insufficient oxygen supply in the heart muscle. It occurs after a buildup of plaque in the arteries supplying blood to the

Certain prescription medications can cause oral side effects that can help in assessing the needs of that specific patient. The link between excessive bleeding and aspirin is diagnosed due to the medical history of the patient and the side effect associated with aspirin. The diagnosis of gingival overgrowth is due to the observation of the gingiva and the link between gingival overgrowth and a medication such as phenytoin. A patient experiencing a lack of saliva flow from the parotid gland can imply that the patient has xerostomia due to the medication albuterol listed on their medical

The prudent dentist must be aware of the mechanisms and clinical symptoms of referred pain, peripheral sensitization, central sensitization, and convergence. This knowledge will aide the clinician to be able to properly diagnose non-odontogenic oro-facial pain in order to treat the patient properly and to avoid doing irreversible harm to the patient, such as extractions or endodontic treatment on healthy

The aim of this ten minute reflection is to show my experience of how my mentor and I used the ABCDE approach when dealing with a patient with chest pain. The concept of this ten minute reflection is to outline the areas that I can develop on for my future placements. This ten minute reflection will show my emotional state and my knowledge that I applied in this situation. It will outline my learning and development when in my placement area and help me to decide if a better outcome could have been achieved if I performed differently. From my learning to date, by completing this ten minute reflection it has enabled me to critically analyse my own practice and compare this to what I would of done now upon completion of this module. This reflection has highlighted how much my skills, knowledge and performance has improved from last year. In accordance of the NMC (2008) a pseudonyms will be used in order to protect the patients’ identity.

Chest pain is a very common symptom, and around 20% to 40% of the general population will experience chest pain in their lives(149). In the UK, up to 2 % of visits to a general practitioner are due to new onset chest pain (150). Approximately 5% of visits to the emergency department are due to a complaint of chest pain, and up to 40% of emergency hospital admissions are the result of chest pain(149, 151). Approximately 52,000 new cases of angina per year are diagnosed in men and 43,000 in women. The incidence of angina increases with age(123).

Operative procedures which have pain-generating capacity provoke high levels of anxiety compared to non-operative procedures. Highest anxiety in a dental setting is common on procedures such as injection, tooth extraction, and drilling. (Bhola and Malhotra, 2014) According to some patients especially for children and adolescents, the following contributes to their anxiety in seeking dental treatment: personal experience such as influence of parents or peers, bad manner of lack of clinical skills, and improper work ethic of the dentists and dental auxiliaries, dental clinic settings such as the arrangement of the dental chair and other equipment, and also the overall ambiance and sounds inside the dental clinic.