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Management of h ospitalised Patients

Management of h ospitalised Patients. Dr Hazem Al-Ahmad BDS, MSc (Lon), F.D.S. R.C.S.( Eng ) Associate Professor Maxillofacial surgeon Dental School University Of Jordan. A dentist in a hospital:. Give consultations Emergency room consultation Inpatient consultation

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Management of h ospitalised Patients

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  1. Management of hospitalisedPatients Dr Hazem Al-Ahmad BDS, MSc (Lon), F.D.S. R.C.S.(Eng) Associate Professor Maxillofacial surgeon Dental School University Of Jordan

  2. A dentist in a hospital: • Give consultations • Emergency room consultation • Inpatient consultation • Does procedures best done in hospitals

  3. Hospitalising patients for dental care: • Behaviouralmanagement • Children • Mental retardation • Medical problems • Needs sedation or G.A • Day surgery

  4. Preoperative patient evaluation: • Preoperative medical examination and medical history • Contact operating room staff • Instruments • Operating time and list

  5. Preparation of the Patient • Admit 24 hours before the operation • general health and fitness • investigations • informed consent • anxiety • Food and drink • Premedication

  6. Operating rooms protocols • Get an assistant • Anesthesiologist • Scrub nurse- gowned & gloved • Circulating nurse

  7. Local / sedation • Day-case surgery • G.A / admission

  8. Operating rooms protocols • Route of intubation • Length of procedures: > 4 hours Foley’s catheter • Eyes protected • Scrubbing, painting, drapping • Moist throat pack

  9. Operating rooms protocols • Surgeons: Surgical scrub uniform Shoe cover Cap • Surgical hand and arm scrub • Pressure gauze with tail

  10. -Instruments

  11. Preparation and isolation of Operation Area :

  12. The Operation Record 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.

  13. discharge • Oral hygiene • Wound care • Diet instructions • Activity levels • Follow up visits • prescription

  14. Postoperative complications: • Airway obstruction or laryngeal oedema • Throat discomfort • Nausea and vomtting – antiemetic drugs- IMF and wire cutters • Fever oral > 37.2, rectal >38

  15. Fluids and electrolytes • Daily intake 2.5-3 L • Dextrose 5% • Normal saline • Lactate ringer’s solution

  16. Blood transfusion • Hypotensive anesthesia • Low blood loss in oral surgery • Autogenous blood transfusion

  17. Thank you • Thank you

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