General

1. Monitor vital signs at every ap pointment because of cardiovascular and respiratory side effects.

2. The patient may require a semi-supine position for the dental chair to help with breathing.

3. Dental procedures may cause the patient anxiety which could result in an asthma attack. Make sure that the patient has his or her sympath-omimetic inhaler present or have the inhaler from the office emergency kit present.

4. Morning and shorter appointments, as well as methods for addressing anxiety levels in the patient, can help to reduce the amount of stress that the patient is experiencing.

5. Sulfites present in vasoconstrictors can precipitate an asthma attack.

6. Decreased saliva flow can put the patient at risk for dental caries, peri-odontal disease, and candidiasis. Consultation with Primary Care Provider

1. Consultation may be necessary in order to evaluate the patient's level of disease control.

2. Consultation may be necessary in order to determine the patient's ability to tolerate stress. Client/Family Teaching

1. Daily home fluoride treatments for persistent dry mouth.

2. Avoid alcohol-containing mouth rinses and beverages.

3. Avoid caffeine-containing beverages.

4. Dry mouth can be treated with tart, sugarless gum or candy, water, sugar-free beverages, or with saliva substitutes if dry mouth persists.

5. Review use, care, and storage of inhaler. Rinse out mouth and wash the mouth piece, spacer, sprayer and dry after each use.

6. Review technique for use and care of prescribed inhalers and respiratory equipment. Rinsing of equipment and of mouth after use is imperative in preventing oral fungal infections.

Free Yourself from Panic Attacks

Free Yourself from Panic Attacks

With all the stresses and strains of modern living, panic attacks are become a common problem for many people. Panic attacks occur when the pressure we are living under starts to creep up and overwhelm us. Often it's a result of running on the treadmill of life and forgetting to watch the signs and symptoms of the effects of excessive stress on our bodies. Thankfully panic attacks are very treatable. Often it is just a matter of learning to recognize the symptoms and learn simple but effective techniques that help you release yourself from the crippling effects a panic attack can bring.

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