ch 14 pharmacology (red)
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ch 14 pharmacology (red)
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______ INHIBITS the release of gonadotropin-releaseing hormone and reduce the release of FSH and LH
t/f smoking tobacco increases the risk for thromboembolism, stroke and myocardial infarction (ADE's of estrogens)
ADE's of estrogen include candidiasis, _________ edema, _________, thromboembolism, _______ and myocardial infarction
if someone taking estrogen has hypertension, BP should be checked _______ _________. If they are within normal limits, check ________.
oral contraceptives and potential drug interactions should be _______ to the patient
what does Euthyroid mean?
_____ recommends informing women of POSSIBILITY that anti-biotics may ________ efficacy of oral contraceptives
thyroid hormes + _________ = glycogenolysis
t/f glycogenolysis is hyperglycemia
what are ADEs of thyroid drugs (in red)?
sweating with excessive doses =
what should be done when someone takes thyroid drugs before treatment?
which technique should be used with someone taking thyroid drugs before giving an injection?
if someone has hyperthyroidism, DO NOT TREAT if they are unable to meet ___ _____ demand!
low concentration of a vasoconstrictor is ___ carps of 1:100k epi or ___ carps of 1:200k epi
t/f if someone is using thyroid drugs, you dont need to be aware of local anesthetics with vasoconstrictors
FALSE! use caution!
propylthiouracil is an _______ drug
what are signs and symptoms of a (hyperthyroidism) thyroid storm? (5)
excess levels of thyroid hormone
respiratory distress (<10 or >20 bpm)
for hyperthyroidism, a combination analgesics with ______ is contraindicated
what should be used for hyperthyroidism?
hyperthyroidism is an increased cardiac risk if unable to meet ___ MET
t/f vasoconstrictors should be used with caution with someone with hyperthyroidsim
what should ALWAYS be done because of thyroid storm possiblity?
_________ (ONJ) of the jaw is the ______ important side effect of bisphosphonates
osteonecrosis of the jaw
DH role in AAOM prevention and management considerations are: (3)
Examination for dental disease
Periodontal therapy for oral health
Restoration of caries or broken teeth to PREVENT need for extraction
medical management goals of therapy for pancreatic hormone intake = reduce _______ blood glucose levels to < ______ mg/dL and HbA1c levels to < __%
what is most likely to occur when INSULIN is at PEAK effect?
when is it best to treat patients that take insulin?
in the morning after taking agent and having breakfast
what two agents are most likely to cause hypglycemia?
what is the MOST common medical emergency when someone is taking pancreatic hormones?
hyperglycemic crisis = ____ ____ which RARELY occurs in dental office, pt can ____
what are clinical signs and symptoms of hypoglycemia? (4 in red)
lack of concentration
what should you question the patient with hypoglycemia? 2
ask about their hypoglycemic drug therapy
and if a meal was consumed
what should be asked/performed to a pt about hypoglycemic therapy? 2
ask last A1C value and recent fasting blood glucose level
always monitor vitals
t/f a hypoglycemic pt should premed before dental therapy
FALSE! no studies support this
what should you instruct a pt that is hypoglycemic?
meticulous oral hygiene
recall at regular intervals
the anterior pituitary secretes _______ hormone (GH), ___________ hormone (FSH, LH), ___________ hormone (ACTH), _________-_________ hormone (TSH), and prolactin
anterior pituitary drugs are administered by _________
diabetes insipidus is caused by ________ of _________
how is desmopressin acetate administered?
what drug treats diabetes insipidus and clotting disorders?
what are the 2 glucocorticosteroids mechanisms of action?
suppress immune system
the decrease of inflammation of glucocorticosteroids ______ migration of _____ (polymorphonuclear leukocyte) and reduce _____ permeability
what are the ADEs of glucocorticosteroids? 2
delayed wound healing
which disease is very low to undetectable levels of aldosterone and cortisol in blood?
what is the treatment of addison's disease?
oral glucocorticoid and mineralocorticoid daily
_______ events may require additional doses for addison's disease