Management of h ospitalised Patients
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Transcript of Management of h ospitalised Patients
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Management of hospitalised Patients
Dr Hazem Al-AhmadBDS, MSc (Lon), F.D.S. R.C.S.(Eng)
Associate ProfessorMaxillofacial surgeon
Dental SchoolUniversity Of Jordan
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A dentist in a hospital:
Give consultations Emergency room consultation Inpatient consultation Does procedures best done in
hospitals
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Hospitalising patients for dental care:
Behavioural management Children Mental retardation Medical problems Needs sedation or G.A Day surgery
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Preoperative patient evaluation:
Preoperative medical examination and medical history
Contact operating room staff Instruments Operating time and list
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•Preparation of the Patient
Admit 24 hours before the operation
general health and fitness investigations informed consent anxiety Food and drink Premedication
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Operating rooms protocols Get an assistant Anesthesiologist Scrub nurse- gowned & gloved Circulating nurse
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Local / sedation Day-case surgery G.A / admission
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Operating rooms protocols Route of intubation Length of procedures: > 4 hours
Foley’s catheter Eyes protected Scrubbing, painting, drapping Moist throat pack
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Operating rooms protocols Surgeons:Surgical scrub uniformShoe coverCap Surgical hand and arm scrub Pressure gauze with tail
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-Instruments
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Preparation and isolation of Operation Area:
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Postoperative Care: Potoperative orders recovery ward or intensive care unit general care of the patient and local
care of the operation site. intermaxillary fixation postoperative pain control and
sedation.
The Operation Record
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discharge
Oral hygiene Wound care Diet instructions Activity levels Follow up visits prescription
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Postoperative complications:
Airway obstruction or laryngeal oedema
Throat discomfort Nausea and vomtting –
antiemetic drugs- IMF and wire cutters
Fever oral > 37.2, rectal >38
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Fluids and electrolytes
Daily intake 2.5-3 L Dextrose 5% Normal saline Lactate ringer’s solution
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Blood transfusion
Hypotensive anesthesia Low blood loss in oral surgery Autogenous blood transfusion
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Thank you
Thank you