ch 14 pharmacology (red)

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jackiedh
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ch 14 pharmacology (red)
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2011-03-28 12:29:29
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  1. ______ INHIBITS the release of gonadotropin-releaseing hormone and reduce the release of FSH and LH
    estrogens
  2. t/f smoking tobacco increases the risk for thromboembolism, stroke and myocardial infarction (ADE's of estrogens)
    true
  3. ADE's of estrogen include candidiasis, _________ edema, _________, thromboembolism, _______ and myocardial infarction
    • peripheral edema
    • hypertension
    • stroke
  4. if someone taking estrogen has hypertension, BP should be checked _______ _________. If they are within normal limits, check ________.
    • every appointment
    • annually
  5. oral contraceptives and potential drug interactions should be _______ to the patient
    communicated
  6. what does Euthyroid mean?
    NORMAL
  7. _____ recommends informing women of POSSIBILITY that anti-biotics may ________ efficacy of oral contraceptives
    • AMA
    • REDUCE
  8. thyroid hormes + _________ = glycogenolysis
    epinepherine
  9. t/f glycogenolysis is hyperglycemia
    true
  10. what are ADEs of thyroid drugs (in red)?
    • nervousness
    • hypertension
    • sweating with excessive doses =
    • hyperthyroid condition
  11. what should be done when someone takes thyroid drugs before treatment?
    monitor vitals
  12. which technique should be used with someone taking thyroid drugs before giving an injection?
    aspirating technique
  13. if someone has hyperthyroidism, DO NOT TREAT if they are unable to meet ___ _____ demand!
    6 MET
  14. low concentration of a vasoconstrictor is ___ carps of 1:100k epi or ___ carps of 1:200k epi
    • 2
    • 4
  15. t/f if someone is using thyroid drugs, you dont need to be aware of local anesthetics with vasoconstrictors
    FALSE! use caution!
  16. propylthiouracil is an _______ drug
    antithyroid
  17. what are signs and symptoms of a (hyperthyroidism) thyroid storm? (5)
    • excess levels of thyroid hormone
    • elevated temp
    • tachycardia
    • respiratory distress (<10 or >20 bpm)
    • sweating
  18. for hyperthyroidism, a combination analgesics with ______ is contraindicated
    ASA
  19. what should be used for hyperthyroidism?
    acetominophen
  20. hyperthyroidism is an increased cardiac risk if unable to meet ___ MET
    4
  21. t/f vasoconstrictors should be used with caution with someone with hyperthyroidsim
    true
  22. what should ALWAYS be done because of thyroid storm possiblity?
    monitor vitals
  23. _________ (ONJ) of the jaw is the ______ important side effect of bisphosphonates
    • osteonecrosis of the jaw
    • most
  24. 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
  25. medical management goals of therapy for pancreatic hormone intake = reduce _______ blood glucose levels to < ______ mg/dL and HbA1c levels to < __%
    • fasting
    • 120 mg/dL
    • 6%
  26. what is most likely to occur when INSULIN is at PEAK effect?
    hypoglycemia
  27. when is it best to treat patients that take insulin?
    in the morning after taking agent and having breakfast
  28. what two agents are most likely to cause hypglycemia?
    • insulin
    • oral sulfonylurea
  29. what is the MOST common medical emergency when someone is taking pancreatic hormones?
    HYPOglycemia
  30. hyperglycemic crisis = ____ ____ which RARELY occurs in dental office, pt can ____
    • diabetic coma
    • die
  31. what are clinical signs and symptoms of hypoglycemia? (4 in red)
    • dizziness
    • impaired consciousness
    • lack of concentration
    • sweating
  32. what should you question the patient with hypoglycemia? 2
    • ask about their hypoglycemic drug therapy
    • and if a meal was consumed
  33. 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
  34. t/f a hypoglycemic pt should premed before dental therapy
    FALSE! no studies support this
  35. what should you instruct a pt that is hypoglycemic?
    • meticulous oral hygiene
    • recall at regular intervals
  36. the anterior pituitary secretes _______ hormone (GH), ___________ hormone (FSH, LH), ___________ hormone (ACTH), _________-_________ hormone (TSH), and prolactin
    • growth
    • gonadotrophic
    • adenocorticotropic
    • thyroid-stimulating
  37. anterior pituitary drugs are administered by _________
    injection
  38. diabetes insipidus is caused by ________ of _________
    • hyposecretion
    • vasopressin
  39. how is desmopressin acetate administered?
    nasal spray
  40. what drug treats diabetes insipidus and clotting disorders?
    desmopressin
  41. what are the 2 glucocorticosteroids mechanisms of action?
    • decrease inflammation
    • suppress immune system
  42. the decrease of inflammation of glucocorticosteroids ______ migration of _____ (polymorphonuclear leukocyte) and reduce _____ permeability
    • SUPPRESS
    • PMN
    • capillary
  43. what are the ADEs of glucocorticosteroids? 2
    • delayed wound healing
    • possible infection
  44. which disease is very low to undetectable levels of aldosterone and cortisol in blood?
    ADDISONS
  45. what is the treatment of addison's disease?
    oral glucocorticoid and mineralocorticoid daily
  46. _______ events may require additional doses for addison's disease
    stressful

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