Little and Falace’s Dental Management of the Medically Compromised Patient
James W. Little DMD MS
Ninth Edition
About this book
Evolve Student Resources for Little and Falace’s: Dental Management of the Medically Compromised Patient, 9th Edition, include the following:
STUDENT RESOURCES:
- Animations
- Three-dimensional animations demonstrate topics such as irregular heartbeats, coronary artery disease, dialysis, diabetes, fetal development, arthritis, chemotherapy, and radiation therapy.
- Mind Maps
- Mind Maps for each chapter give visual breakdown of the key information in the chapter, great for quick review or taking notes.
- Printable version of the Dental Management Summary Table
- A quick and easy reference table that presents the most important factors to be considered in the management of the medically compromised patient.
- Weblinks
- A variety of weblinks for further study and research.
INSTRUCTOR RESOURCES:
- 367-question Test Bank
- PowerPoint Lecture Slides
- Image Collection
- Syllabus Conversion Guide
Activate the complete learning experience that comes with each textbook purchase by registering at http://evolve.elsevier.com/Little/compromised/
Questions & Answers from this book
Questions and answers are connected to the referenced book and its available source material.
Chapter 1: Patient Evaluation and Risk Assessment
Chapter 4: Ischemic Heart Disease
What is the recommended maximum dose of epinephrine in local anesthetics for patients with hypertension according to the chapter?
The recommended maximum dose of epinephrine in local anesthetics for patients with hypertension is one to two carpules (1.8 mL) of 2% lidocaine with 1:100,000 epinephrine. For patients with uncontrolled hypertension (BP >180/110 mm Hg), the use of epinephrine should be limited or avoided altogether.
What factors are evaluated to determine the perioperative cardiovascular risk for patients undergoing noncardiac surgery?
To determine perioperative cardiovascular risk for patients undergoing noncardiac surgery, three factors are evaluated: the risk imposed by the patient's cardiovascular disease, the risk associated with the surgery or procedure, and the patient's functional reserve or capacity.
Chapter 6: Heart Failure (or Congestive Heart Failure)
What are the hallmark symptoms of heart failure as described in the chapter?
The hallmark symptoms of heart failure include dyspnea, fatigue, orthopnea, and paroxysmal nocturnal dyspnea. Other symptoms may include exercise intolerance, peripheral edema, and weight gain due to fluid retention.
What is the maximum recommended dose of epinephrine for patients with heart failure during dental procedures?
The maximum recommended dose of epinephrine for patients with heart failure during dental procedures is 0.036 mg, which is equivalent to two cartridges of 1:100,000 epinephrine. It is important to monitor these patients closely during treatment.
Chapter 8: Smoking and Tobacco Use Cessation
What types of counseling are effective for smoking cessation according to Little and Falace's Dental Management of the Medically Compromised Patient?
Effective counseling methods for smoking cessation include brief counseling by healthcare professionals, telephone quit lines, and group counseling. These approaches can significantly increase the chances of quitting successfully, especially when combined with nicotine replacement therapy or medications.
How does nicotine affect the body and contribute to addiction according to the chapter?
Nicotine is a highly addictive substance that affects the brain's dopaminergic pathways, similar to drugs like heroin and cocaine. It produces physiological effects such as increased heart rate and blood pressure, while also creating a sense of pleasure and well-being. The rapid delivery of nicotine to the brain reinforces its addictive nature, leading to withdrawal symptoms when levels decrease.
Chapter 10: Liver Disease
What are the common serologic tests used for diagnosing acute viral hepatitis according to Little and Falace's text?
The common serologic tests used for diagnosing acute viral hepatitis include IgM anti-HAV for hepatitis A, HBsAg and IgM anti-HBc for hepatitis B, Anti-HCV for hepatitis C, HBsAg for hepatitis D, and Anti-HEV for hepatitis E.
What are the laboratory criteria for the diagnosis of hepatitis C as outlined in the chapter?
The laboratory criteria for the diagnosis of hepatitis C include: a positive anti-HCV screening test, a positive HCV RIBA, or a positive nucleic acid test (NAT) for HCV RNA. Additionally, if performed, there should be an absence of IgM antibody to HAV and an absence of IgM anti-HBc.
Chapter 12: Chronic Kidney Disease and Dialysis
Chapter 13: Sexually Transmitted Diseases
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