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Dental Office Emergencies
drug overdose and toxicity
33
Dentistry
Undergraduate 3
02/23/2014

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Cards

Term
what kind of stimulants are amphetamines?
Definition
CNS stimulants that activate the sympathetic autonomic nervous system or (sans) which initiates fight or flight response.
Term
what are some symptoms of amphetamines?
Definition

increased HR

mydriasis (dilated pupil)

decreased digestion

dilation of bronchioles

increased blood flow to brain and skeletal muscles

Term
what are some examples of amphetamine drugs that prevent the reuptake of excitatory neurotransmitters?
Definition

norepinephrine

dopamine

serotonin

Term
what do amphetamines prevent?
Definition
the reuptake of excitatory neurotransmitters
Term
how would you treat amphetamine toxicity?
Definition

ems

basic life support abc's

vital signs

benzodiazepine (a depressent to reduce agitation)

external cooling of skin

NO EMETIC AGENT: vomiting may induce seizures

Term
what is an amphetamine used for narcolepsy?
Definition
dexatroamphetamine (dexedrine)
Term
what is an amphetamine used for ADD?
Definition
methylphenidate (ritalin)
Term
what are some examples of methamphetamines
Definition

meth

uppers

crank

speed

ice

crystal

Term
is cocaine a stimulant or depressent
Definition
cocaine is a stimulant often used for local anesthesia (rhinoplasty)
Term
what effects does cocaine have on blood vessels
Definition
cocaine is a vasoconstrictor
Term
what are some common routes of administration of cocaine?
Definition

nasal by snorting (3-5 min)

 

smoking crack

 

IV

Term
what are some signs and symptoms of amphetamine toxicity?
Definition

-euphoria

-restlessness

-talkativeness

-anxiety

-agitation

-confusion

-flushing

-diaphoresis

-anorexia

tachycardia-hypertension

-seizures

intracranial hemorrhage

chest pain

Term

cerebral hemorrage

anxiety and agitation

chest pain/tachycardia/hypertension

dypsnea

ventricular fibrillation

MI 

hyperthermia

 

these are all signs of what stimulant?

Definition
Cocaine
Term
what is a high risk for cocaine toxicity?
Definition
local anesthesia!!!!
Term

nasal septum damage

ischemic heart

increase in class V caries due to increased carbohydrates

bruxism

vigorous toothbrushing

 

these can all happen to people on what stimulant

Definition
on cocaine all of these things may happen
Term
are opiates and opiods stimulants or depressents?
Definition
opiates are depressants
Term
what do opiates do to affect the CNS and spinal cord?
Definition
bind to receptor cites
Term
what are some uses of opiates?
Definition

sedation

pain reduction (analgesia)

 

Term
what areas do opiates depress>
Definition

brain stem

cough suppressant

GI mobility

respiration

Term
how do you treat cocaine toxicity?
Definition

ems

basic life support

calm quiet atmosphere

hyperthermia (external cooling is needed)

diazepam (valium) for hyperactivity

Term
what are some signs and symptoms of opiates?
Definition

lethargy

myosis (small pupils)

shallow respiration

hypotension

hypothermia

bradycardia

flaccid muscles

lack of response to external stimulation

Term
what is derived from juice of a poppy plant?
Definition
opiates/ opiods
Term
what are some examples of opiates?
Definition

heroin

oxycodone

hydrocodone

meperidone

propoxyphene fentanyl

buprenorphine

methadone

(morphine and codeine)

Term
how do you treat opiate toxicity?
Definition

ems

life support

oxygen

hospital will administer Narcan 

Term
what are sedative-hypnotic agents that may be given for insomnia for short action?
Definition
barbituates
Term
signs and symtoms of barbituates include?
Definition

lethargy

dose dependence

slurred speech

ataxia (lack of muscle control)

nystagmus (involuntary rapid eye movement)

hypothermia

Term
how to treat barbituate toxicity
Definition

ems

basic life support

vitals

oxygen

external warming

at hospital charcoal drug used to absorb drug.

Term
what have barbituates been replaced with?
Definition
benzodiazepines
Term
what is a barbituates used as a long acting anti seizure drug?
Definition
phenobarbitol
Term
what are some signs and symptoms of benzodiazepines?
Definition

lethargy

slurred speech

ataxia

mental confusion

coma/respiratory arrest

Term
how to treat benzodiazepine toxicity>?
Definition

ems

basic life support

supine for hypotension

vitals

external warming

charcoal used at hospital to absorb drug.

Term
what are some uses for benzodiazepines
Definition

anticonvulsant

muscle relax

reduce anxiety

Term
what are some examples of benzodiazepines?????
Definition

diazepam/valium

midazolam/versed

alprozolam/xanax

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