apr4Baker

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Author:
nbenassi
ID:
80549
Filename:
apr4Baker
Updated:
2011-04-18 23:34:18
Tags:
Dental Pharmacology
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Description:
Treating the Medicated Dental Patient-Cardiovascular Drugs
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  1. List the adverse effects of Thiazide Diuretics
    • Slight Xerostomia
    • Low K+ and Na+
    • Oral mucosal lesions
    • High uric acid and Blood sugar
    • NSAIDs decrease effectiveness
  2. List the diagnostic criteria for hypertension
    • Normal = <120 and <80
    • Prehypertension = 120-139 or 80-89
    • Stage 1 Hypertension = 140-159 or 90-99
    • Stage 2 Hypertension = 160+ or 100+
  3. List the adverse effects of Loop Diuretics
    • Severe Xerostomia
    • Oral lichenoid lesions
    • Low K+
    • High uric acid and Blood sugar
    • Dehydration
    • NSAIDS decrease effectiveness
  4. List the adverse effects of ACE inhibitiors
    • "Burning mouth Syndrome" w/in the first 3 months
    • Angioedema w/in the first 3 months
    • Chronic dry cough in 4-12% of pts.
    • Chronic NSAIDs decrease effectiveness
    • Orthostatic Hypotension
    • Drug induced oral lesions
  5. ARBs lack the _______ adverse effect shown in ACEi's
    cough
  6. ARB's end in_____________.
    sartan
  7. ACEi's end in_____________.
    pril
  8. Some K+ sparing diuretics are:
    • Amiloride
    • Spironolactone
    • Eplerenone
    • Triamterene
  9. Thiazide diuretics:
    • Chlorothiazide
    • Hydrochlorothiazide
  10. Loop Diuretics:
    • Furosimide
    • Torsemide
    • Bumetanide
  11. What are the 2 major dental implications of Ca2+ channel blockers?
    • Gingival overgrowth, 5-10% of pts.- need strict plaque control and "power chlorohexadine" bedtime rinse
    • Interacts with Fentanil- causes extreme hypotension
  12. alpha-1 agonists lead to
    Vasoconstriction
  13. beta-1 agonist leads to
    Increased heart rate and contractility
  14. beta-2 agonist leads to
    vasodilation
  15. How many carpules of anesthetic with epi should be administered to a patient on propanolol?
    • 2.5 carpules of 1:100,000 per 2 hour visit
    • (nonselective beta-blocker)
  16. How many carpules of anesthetic with epi should be administered to a patient on atenolol?
    • up to 5 carpules of 1:100,000 per 2 hour visit
    • (selective beta-1 blocker)
  17. What are some considerations to take when treating a pateint with hypertension?
    • morning appointments
    • avoid lengthy appointments
    • avoid intravascular injections
    • avoid retraction cord with epinephrine
    • use anxiolytics when indicated, benzodiazepines, NO2
  18. At what blood pressure should a patient be refered to a physcian before any treatment can be done.
    > 160 or >110
  19. At what BP reading should a patient be refered to a physician but doesn't limit starting dental treatment?
    • Prehypertensive pts up to stage 1 hypertension
    • (121-159 and 81-109)
    • Stage 2 patients should be refered before treatment
  20. What is a potential interaction between beta blockers and epinephrine?
    • Hypertension
    • Bradycardia
  21. At what BP reading should a patient be sent to the ER?
    • Systolic at or above 200
    • Diastolic at or above 120

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