On the 10 day countdown...

With 10 days left, I may have even considered using a POD moving solution. It just seems more easy than purchasing and transporting everything there. Or maybe, psychologically, it may be a way for me to recreate "home" in a new state or in a foreign environment. Hopefully in that way, I can gain some sanity, peace and ultimately serenity amidst the rigors of graduate life and being away from the boyfriend, family, work and friends. :(

On a positive note, this week before the big move is a chance to help a dental hygienist student work on some projects. It's forced me to become more familiarized with my last year of Pharmacotherapy at UC Irvine. For now, the simple things have been broken down as far as drug-drug interactions and contraindications. Even simple things as physical and psychological evaluations have become a primary area of study for other health professionals.

Here's what we have so far....


• Medical History Questionaire @ initial office visit
o Updated regularly
o Short versus long form
o Long form: in-depth questions to adequately assess patients, especially those with significant medical disorders
o Question 1: will determine immediacy of attention
o Question 3: psychological outlook toward dentistry
o Question 6: prevent drug-drug interactions
• Multiple local anesthetics
• Anesthetics with opiods
• VasConstrictor and beta-adrenoreceptor antagonist, general anesthetic and TCA’s
o Question 7: Allergic reactions
o Question 8: excessive bleeding risks
• Selection of supraperiosteal, periodontal ligament or intraosseous or other techniques VERSUS
• AVOID these: (page 141)
o Question 9:
• Cardiovascular events or those with cardiovascular health are at put those at risk for overdose to local anesthetic because of an associated decrease liver metabolism which leads to longer half-lives of anesthetics
• Recent heart attacks: those within <6 months, reinfarction more likely
• Angina pectoris:angina episode may be induced by anxiety or inability to manage pain control.
• High blood pressure: patients regularly monitored and encouraged to follow recommended medications prescribed by doctors.
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