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Bacterial endo carditis. Microorganisms | Free Full-Text | Infective Endocarditis: A Focus on Oral Microbiota | HTML. 

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Microorganisms | Free Full-Text | Infective Endocarditis: A Focus on Oral  Microbiota | HTML

Figure. Pathogenesis of bacterial endocarditis. | Download Scientific  Diagram

Bacterial endo carditis. Infective Endocarditis | American Heart Association. 

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Infective Endocarditis | American Heart Association

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British recommendations                         No prophylaxis

Bacterial endo carditis. Protocol of management. PDF] Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young,. 

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PDF] Prevention of infective endocarditis: guidelines from the American  Heart Association: a guideline from the American Heart Association  Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on  Cardiovascular Disease in the Young,

Hypertension. Hypertension: Also known as high blood pressure is, by definition, a repeatedly elevated blood pressure exceeding 140 over 90 mmHg -- a systolic pressure above 140 or a diastolic pressure above 90. Chronic hypertension is a "silent" condition that does not have symptoms. It can cause blood vessel changes in the back of the eye (retina), abnormal thickening of the heart muscle, kidney failure, and brain damage. Hypertension is function of PR, Blood volume and Heart rate. 

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Hypertension: Also known as high blood pressure is, by definition, a repeatedly elevated blood pressure exceeding 140 over 90 mmHg -- a systolic pressure above 140 or a diastolic pressure above 90. Chronic hypertension is a "silent" condition that does not have symptoms. It can cause blood vessel changes in the back of the eye (retina), abnormal thickening of the heart muscle, kidney failure, and brain damage. Hypertension is function of PR, Blood volume and Heart rate

Category Normal Prehypertension Stage I Hypertension Stage II Hypertension Hypertensive Crisis Systolic (mm Hg) <120 120-139 140—159 2160-170 >180 and or or Diastolic (mm Hg) 80-89 2100-110 >110 Dental Management Considerations Routine dental management Recheck at continued-care (recare) visit Routine dental management Advise client of status; and recommend lifestyle management Recheck at recare visit Monitor blocxi pressure at consecutive appointments If all exceed these guidelines, seek medical consultation Stress-reduction protocol Recheck at recare visit Recheck blood pressure in 5 minutes If still elevated within this range, seek and receive medical consultation before dental hygiene therapy Noninvasive care only Definitive emergency care only if blood pressure is <180/110 Stress-reduction protocol Continue to monitor blood pressure at consecutive appointments Recheck at each visit Recheck blood pressure in 5 minutes If still elevated, immediate medical consultation is indicated No dental or dental hygiene care, elective or emergent, until blood pressure is decreased Noninvasive emergency care with drugs: analgesics or antibiotics are indicated Refer to hospital for immediate invasive dental care. 

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Category
Normal
Prehypertension
Stage I Hypertension
Stage II Hypertension
Hypertensive Crisis
Systolic (mm Hg)
<120
120-139
140—159
2160-170
>180
and
or
or
Diastolic (mm Hg)
80-89
2100-110
>110
Dental Management Considerations
Routine dental management
Recheck at continued-care (recare) visit
Routine dental management
Advise client of status; and recommend lifestyle
management
Recheck at recare visit
Monitor blocxi pressure at consecutive
appointments
If all exceed these guidelines, seek medical
consultation
Stress-reduction protocol
Recheck at recare visit
Recheck blood pressure in 5 minutes
If still elevated within this range, seek and receive
medical consultation before dental hygiene
therapy
Noninvasive care only
Definitive emergency care only if blood pressure is
<180/110
Stress-reduction protocol
Continue to monitor blood pressure at consecutive
appointments
Recheck at each visit
Recheck blood pressure in 5 minutes
If still elevated, immediate medical consultation is
indicated
No dental or dental hygiene care, elective or
emergent, until blood pressure is decreased
Noninvasive emergency care with drugs: analgesics
or antibiotics are indicated
Refer to hospital for immediate invasive dental care

Coronary heart disease. Coronary heart disease is a type of heart disease that develops when the arteries of the heart cannot deliver enough oxygen-rich blood to the heart. 

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Coronary heart disease is a  type of heart disease  that develops when the arteries of the heart cannot deliver enough oxygen-rich blood to the heart

Myocardial infarction vs Angina Pectoris Main difference is permanent damage vs non permanent damage Primary diagnosis by medical history of more than 15 min attack. 

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Myocardial infarction vs Angina Pectoris Main difference is permanent damage vs non permanent damage Primary diagnosis by medical history of more than 15 min attack

What is NSTEMI? What You NEED to Know • MyHeart

Emergency MONA protocol Morphine Oxygen Nitroglycrine three times every 5 min Asprine 325-375 mg. 

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Emergency MONA protocol Morphine Oxygen Nitroglycrine  three times every 5 min Asprine  325-375 mg

When to work Specially after 6 months of attack. Periodontal management of medically compromised patients - ppt video online download. 

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When to work Specially after 6 months of attack

Periodontal management of medically compromised patients - ppt video online  download

Heart Failure. New York Heart Association (NYHA) Heart Failure Symptom Classification... | Download Scientific Diagram. 

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New York Heart Association (NYHA) Heart Failure Symptom Classification... |  Download Scientific Diagram

Class 1 can one  one  block (around 400 meter) Class II can walk two block with slight fatigue, class III cant complete two block walk, Class IV cant walk at all

Dental Consideration. Patients with CHF need special attention during dental care including avoiding procedures that can strain the heart, use of adequate pain control, monitoring blood pressure, shortened visits, and a cautious eye to possible complications. Patient must be treated in up right position to avoid dypnea. 

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Patients with CHF need  special attention  during dental care including avoiding procedures that can strain the heart, use of adequate pain control, monitoring blood pressure, shortened visits, and a cautious eye to possible complications. Patient must be treated in up right position to avoid  dypnea

Bleeding Problem. Physiology Vascular Mechanism Platelet Mechanism Coagulation a. Extrinsic (Fast and Week) b. intrinsic (Slow but definite). 

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Physiology Vascular Mechanism Platelet Mechanism Coagulation        a. Extrinsic (Fast and Week)       b. intrinsic (Slow but definite)

Blood Coagulation and Blood–Material Interactions - ScienceDirect. 

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Blood Coagulation and Blood–Material Interactions - ScienceDirect

Blood Clotting Scheme stock vector. Illustration of circulation - 137821306

Tests to monitor coagulation. a-ug •zeo NIA III ue604'4* MåNH aavosvo Nouvnnovoo. 

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a-ug
•zeo
NIA
III
ue604'4* MåNH
aavosvo Nouvnnovoo

classification of Bleeding disorder. Bleeding disorders Coagulation factor deficiencies Congenital Fibrinolytic defects Streptokinase therapy Disseminated intravascular coagulation Acquired Vascular disorders Scurvy Purpura Hereditary hernorrhagic telangiectasia Cushing syndrome Ehlers-Danlos syndrome Platelet disorders Quantitative disorder (thrombocytopenia) Qualitative disorder. 

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Bleeding disorders
Coagulation factor
deficiencies
Congenital
Fibrinolytic defects
Streptokinase therapy
Disseminated
intravascular coagulation
Acquired
Vascular disorders
Scurvy
Purpura
Hereditary hernorrhagic
telangiectasia
Cushing syndrome
Ehlers-Danlos syndrome
Platelet disorders
Quantitative disorder
(thrombocytopenia)
Qualitative
disorder

Coagulation defect. Maybe congenital or acquired Congenital as hemophilia A, B or Von Willbrand disease Acquired Liver disease Oral Anticoagulant IV Anticoagulant. 

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Maybe congenital or acquired Congenital as hemophilia A, B or Von  Willbrand  disease Acquired  Liver disease Oral Anticoagulant IV Anticoagulant

Hemophilia. Defect in factor 8 or 9 based either A or B Monitored by PTT test and factor assey Mild forms with factor above 25% can be treated normally just inject tranexamic acid or aminocaproic acid prior to surgery IV Sever forms need replacement therapy either cryopreciptate , plasma or factor replacement under hospitalization Von Willbrand disease same management. 

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Defect in factor 8 or 9 based either A or B Monitored by PTT test and factor  assey Mild forms with factor above 25% can be treated normally just inject tranexamic acid or aminocaproic acid prior to surgery IV Sever forms need replacement therapy either  cryopreciptate , plasma or factor replacement under hospitalization Von  Willbrand  disease same management

Acquired (Liver disease (Vitamin K related factors 1972). 

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Acquired (Liver disease (Vitamin K related factors 1972)

Liver disease (Vitamin K related factors 1972) Monitored by PT and INR test Avoid hepatotoxic drugs Give vitamin K may aid Incase of sever form need replacement

Oral anti coagulant Warfarine. Mechanism of action : the block vitamin K epoxied reductase which is essential for formation of factor 7, 2. Monitored by PT and INR Test Management If PT and INR below double normal work normally If PT and INR above Double normal perform heparin shift with oral anticoagulant In Case of Emergency bleeding give vitamin K. 

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Mechanism of action : the block vitamin K epoxied reductase which is essential for formation of factor  7, 2. Monitored by PT and INR Test Management  If PT and INR below double normal work normally If PT and INR above Double normal perform heparin shift with oral anticoagulant In Case of Emergency bleeding give vitamin K

Interaction of Warfarine. H-2 Blockers Macrolide Antibiotics Metronidazole Quinolone Antibiotics Aspirine. 

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H-2 Blockers  Macrolide Antibiotics  Metronidazole   Quinolone Antibiotics Aspirine

NOVAL oral anticoagulants. Factor specific group of drugs instead of Vitamin K epoxide reductase blockage Usually need no intervention. 

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Factor specific group of drugs instead of Vitamin K epoxide reductase blockage Usually need no intervention

IV anticoagulant. Heparin is the most famous drug Monitored by PTT test Interact with Active thrombine and active factor II and factor X 24 hour half life No specific antidote except factor replacement in emergency May consider Low molecular weight heparin shift and bridging in case of dental care Usually taken by post transplant patient and renal dialysis. 

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Heparin is the most famous drug Monitored by PTT test Interact with Active  thrombine  and active factor II and factor X 24 hour half life  No specific antidote except factor replacement in emergency May consider Low molecular weight heparin shift and bridging in case of dental care Usually taken by post transplant patient and renal dialysis

Fibrinolytic defect. DIC (Disseminated Intravascular Coagulopathy) Low platelet count associated Intravascular coagulopathy (COVID Vaccine) Pathophysiology Consumption of platelets by acute insult leading to generalized clots and emboli followed by bleeding due to consumption of bleeding coagulation factor Treatment Biggest struggle in medicine to weight anticoagulant with coagulant therapies. 

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DIC (Disseminated Intravascular Coagulopathy) Low platelet count associated Intravascular coagulopathy (COVID Vaccine) Pathophysiology  Consumption of platelets by acute insult leading to generalized clots and emboli followed by bleeding due to consumption of bleeding coagulation factor Treatment Biggest struggle in medicine to weight anticoagulant with coagulant therapies

Vascular problem. Scurvy Hereditary hemorrhagic telangiectasia Ehlers Danlos No Dental Consideration. 

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Scurvy Hereditary hemorrhagic telangiectasia Ehlers Danlos No Dental Consideration

Platelet defect. Congenital Qualitative (Glanzmann disease, bernard soulier syndrome) Quantitively (Idiopathic thrombocytopenia) Common in females, associated with bruises and petechiae, and prolonged bleeding, autoimmune disease. 

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Congenital Qualitative (Glanzmann disease,  bernard   soulier  syndrome) Quantitively (Idiopathic thrombocytopenia) Common in females, associated with bruises and petechiae, and prolonged bleeding, autoimmune disease

Test Bleeding Time Management. 3 Potential for Bleeding | Pocket Dentistry. 

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3 Potential for Bleeding | Pocket Dentistry

Acquired platelet defects. Plavix (Clopidogrel) Blocks platelets receptors ADP-induced platelet aggregation Aspirin block thromboxane A2 Both affect platelet irreversible so need at least 6-7 days to do dental work after termination of drug to allow sufficient platelet population In case of emergency perform heparin shift or platelet transfusin Monitoring by bleeding time. 

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Plavix (Clopidogrel) Blocks platelets receptors ADP-induced platelet aggregation  Aspirin block thromboxane A2    Both affect platelet irreversible so need at least 6-7 days to do dental work after termination of drug to allow sufficient platelet population In case of emergency perform heparin shift or platelet  transfusin Monitoring  by bleeding time

Local Anticoagulant. Colla-Cote Tape, Plug Zimmer Dental Absorbable collagen dresslngs from b0',qne sourcg—can be sutured Into place, used under stents dentures or aloæ,• fully Shaped accordlrg to Intended Lße: •cote- % x 1.5 nch, 1 x 3 Inch,•, plug % x % Inch; all are supertor bermstats. 

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Colla-Cote
Tape, Plug
Zimmer Dental
Absorbable collagen dresslngs from b0',qne
sourcg—can be sutured Into place, used
under stents dentures or aloæ,• fully
Shaped accordlrg to Intended Lße: •cote-
% x 1.5 nch, 1 x 3 Inch,•, plug
% x % Inch; all are supertor bermstats

Gelfoam
Pharmacia & Upjohn
Absorbable gelatin sporø* made from purlfled
In 3-5 days
IJæful for most patents taking an
antithrombotic agent helpful to Plze
thrombin on Gelfoarrc for
extenslve or Invaslve surm. can be

Surglcel
Johnson & Johnson
Becton Dickinson
regererated celldoæ—exerts
effect rather than physlolc•c; swells
on contact wtth blo:d wqth resulting
pressure to hernostasts;
thrombln INf«ttve Wlth ttpse a*nts d'E to
After 2448 tmrs It becorrps gelatinous;
can be left In Plze or rermved; useful
to control bleedlng when other agents
INffecttve

Trarpxarrllc æld
(Tablets)
Cykl•okapron
Arnguank
Pflzg
Wyeth-Ayerest
Tranexarntc ad—works as a ccmpetltrve
l#dbltor of a-tlvatm; used as
a mouth wash 6%), taken orally as a tablet
or gtven IV
Amlnocaprolc acld—wrks as a corrpetlüve
l#.lbltor of plasrnro*n Xtlvatm; used as
IJEful In short term for preventlng
hernorrhage after dental extractions
IJEful In short-term to prevent bleedrg

Systemic disease mini group