Baker's Exam 3: Respiratory System Medications

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Author:
kmaher
ID:
122086
Filename:
Baker's Exam 3: Respiratory System Medications
Updated:
2011-12-08 23:43:10
Tags:
Dental Therapeutics
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Description:
Respiratory System Medications
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  1. What category do the following Resp. drugs belong: Cetirizine, Diphenhydramine, Fexofenadine, and Loratidine?
    Antihistamines
  2. What category do the following Resp. drugs belong: Albuterol and Salmeterol?
    Beta-2 Agonist Inhalers
  3. What category do the following Resp. drugs belong: Beclomethasone, Budesonide, Flinisolide, Fluticasone, and Triamcinolone?
    Corticosteroid Inhalers
  4. What category do the following Resp. drugs belong: Cromolyn and Nedocromil?
    Mast cell migration inhibitor inhalers
  5. What category do the following Resp. drugs belong: Ipratropium?
    Anticholinergic inhaler
  6. What category do the following Resp. drugs belong: Montelukast?
    Leukotriene receptor antagonist
  7. What are the common dentally significant adverse effects of Antihistamines?
    • drowsiness
    • dry mouth *Diphenhydramine = most drying of OTC*
    • thickened bronchial secretions
    • *Fexofenadine & Loratidine = limited side effects
  8. What are the common dentally significant adverse effects of Beta-2 Agonist inhalers?
    • Tremor
    • Tachycardia
    • Bad taste
    • Oral Irritation
    • Headache due to long action
  9. What are the common dentally significant adverse effects of Corticosteroid inhalers?
    • **Greatest concern is candida infection** (soft palate or buccal mucosa)
    • **Do NOT cause HPA or systemic immunosuppression**
    • Soft palate irritation
  10. What are the common dentally significant adverse effects of Mast cell migration inhibitor inhalers?
    • Cromolyn: Throat irritation, cough
    • Nedocromil: Bad taste, cough
  11. What are the common dentally significant adverse effects of Anticholinergic inhalers?
    • **Can cause dry mouth** (Diphenhydramine)
    • HA, dry oropharynx
  12. What are the common dentally significant adverse effects of Leukotriene receptor antagonists?
    • HA
    • Pharyngitis
    • Cough
  13. What are the dental tx impacts of antihistamines?
    • xerostomia
    • CNS depression
  14. What are the dental tx impacts of Beta-2 agonist inhalers?
    • which one is the “rescue” inhaler?
    • inhaler use just prior to dental tx can prevent asthma during appt.
    • Dental office should have Albuterol inhaler available for pts.
  15. What are the dental tx impacts of Corticosteroid inhalers?
    • prevent or treat candidosis
    • Recommend an inhaler adapter to prevent atrophic candida
  16. What are the dental tx impacts of Anticholinergics?
    treat dry mouth and recognize chronic use only (COPD)
  17. What are the dental tx impacts of Leukotriene receptor antagonist?
    chronic only for allergen-triggered asthma

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