Term
What class of medications can help with xerostomia? |
|
Definition
cholinergics such as prilocaine |
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Term
What is an example of anti platelet drug? |
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Definition
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|
Term
What is an example of an anticoagulant drug? |
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Definition
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Term
What is the limited amountof epi allowed for people with heart conditions? |
|
Definition
0.04 mg(2 carps 1:100,000) |
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Term
What is the blood pressure that we will not see a patient in private practive? |
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Definition
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Term
What is the cause of primary hypertension? |
|
Definition
cause unknown, develops over time |
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Term
What are some common side effects of ACE inhibitors? |
|
Definition
posttural hypotension, dry cough |
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Term
Which type of beta-blockers should epi be used with caution? |
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Definition
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Term
What is a common side effect of calcium channel blockers? |
|
Definition
gingival hyperplasia, xerostomia |
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Term
How long should selective treatment be put off after a heart attack? |
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Definition
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Term
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Definition
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Term
Pain in the mandible may indicate what? |
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Definition
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Term
How often should nitroglycerin tablets be replaced? |
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Definition
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Term
How much nitroglycerine should be given to a patient having an angina attack? |
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Definition
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|
Term
What should the systolic blood pressure be under before administering nitro? |
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Definition
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|
Term
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Definition
oxygen supply to the brain cut off |
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Term
How long should it be after a stroke before elective dental treatment? |
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Definition
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Term
What is the primary pace setter in the heart? |
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Definition
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Term
What is ventricular fibrillation? |
|
Definition
rapid heart beat with erratic electrical impulses of ventricles |
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Term
How is ventricular fibrillation treated? |
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Definition
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Term
Can ultrasonics be used on people with pacemakers? |
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Definition
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|
Term
Can epi be administered to people with cardiac arrythemias? |
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Definition
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|
Term
What is the primary pacemaker in the heart? |
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Definition
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|
Term
Can nitrous be used on pts with congenital heart disease? |
|
Definition
no because of possible pulmonary congestion |
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|
Term
What medication may patient be taking for congestive heart faulure? |
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Definition
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|
Term
What is a possible side effect of digoxin? |
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Definition
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|
Term
Should air polishers or ultrasonics be used on people with congestive heart failure? |
|
Definition
no, it would be hard for them to breathe |
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|
Term
How long after a coronary artery bypass should a patient wait to have elective dental treatment? |
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Definition
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|
Term
Is a premed needed for a coronary bypass surgery? |
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Definition
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|
Term
Is a preantibiotic needed for a patient with a valve replacement? |
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Definition
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|
Term
What will a patient be taking if they have mechanical valve? |
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Definition
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Term
What are 4 common medications of asthma? |
|
Definition
1. albuterol(Ventolin) 2. salmeterol(Serevent) 3. flutocasone(Flovent) 4. advair |
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|
Term
What is albuterol (Ventolin)? |
|
Definition
short-acting bronchodilator |
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|
Term
What is salmeterol(Serevent)? |
|
Definition
long-acting bronchodilator |
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|
Term
What is fluicasone(Flovent)? |
|
Definition
corticosteroid-used long term |
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|
Term
|
Definition
long-acting bronchodilator + corticosteriod |
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|
Term
What percentage of people with asthma are allergic to aspirin? |
|
Definition
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|
Term
Should nitrous oxide be used on patients with asthma? |
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Definition
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|
Term
What happens in the lungs to people with emphysema? |
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Definition
over inflation of the alveoli/air sacs which impair airflow out of the lungs |
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Term
Do people with emphysema have a increased or decreased respirtaion rate? Dry or wet cough? |
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Definition
-increased respiration rate -dry cough |
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Term
What is the nickname for emphysema? |
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Definition
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|
Term
What happens in bronchitis? Dry or wet cough? |
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Definition
inflammation of linings of bronchial tubes which narrows airway, wet cough |
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|
Term
|
Definition
disorder of exocrine glands(glands that go to surfaces like tears, sweat, etc), secretions become thick and sticky, accumulations of mucus blocks air exchange in the lungs |
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Term
|
Definition
reduced CD4 helper t counts and function |
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Term
What is kaposi's sarcoma? |
|
Definition
an oral manifestation of HIV? |
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|
Term
Why should you avoid the creation of areosols for HIV patients? |
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Definition
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|
Term
What should the recare interval be for HIV patients? |
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Definition
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|
Term
What do you want a med con for with HIV/AIDS patients? |
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Definition
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|
Term
What do you want a med con for with patients with leukemia? |
|
Definition
platelet count due to aplastic anemia |
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|
Term
Are prophylactic antibiotics prescribed to patients with leukemia? |
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Definition
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|
Term
What is sickle-cell anemia? |
|
Definition
hemoglobin defect that causes blood cells to become sickle shaped(cresent moon shaped) and can occlude small vessels |
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Term
What does it mean if you carry the sickle cell trait? |
|
Definition
you carry one of the autosomal recessive genes |
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|
Term
What does it mean if you have sickle cell disease? |
|
Definition
you carry both autosomal recessive genes |
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|
Term
Do people with sickle cell disease need med cons/antibiotic? |
|
Definition
need med con to determine possible antibiotic |
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|
Term
|
Definition
autoimmune form of inflammatory bowel disease, may involve GI from mouth to anus |
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|
Term
What kind of unlcers arise with Crohns's disease? |
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Definition
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|
Term
When is the best time for a dialysis patient to have an appointment? |
|
Definition
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|
Term
When may patient with Crohn's disease be treated? |
|
Definition
when they are in remission on controlled disease |
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|
Term
Which dialysis patients need med cons? |
|
Definition
possible premeds if AV shunt or kidney transplant |
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|
Term
Can you air polish on a patient with chronic renal failure? |
|
Definition
no because of possible electrolyte inbalance |
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|
Term
|
Definition
inflammation of the liver |
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|
Term
What is the source, risks, and is there a vaccine for hepatitis A? |
|
Definition
source- fecal/oral risks- poor hygiene vaccine- yes(hep B) |
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|
Term
What is the source, risks, and is there a vaccine for hepatitis B? |
|
Definition
source- blood/bodily fluids risk- IV drugs,sex, needles vaccine- yes |
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|
Term
What is the source, risks, and is there a vaccine for hepatitis C? |
|
Definition
source- blood/bodily fluids risks- IV drugs, sex, needles vaccine- NO |
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|
Term
What is the source, risks, and is there a vaccine for hepatitis D? |
|
Definition
source- blood/bodily fluids risks- IV drugs, sex, needle vaccine- yes (hep B) |
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|
Term
What is the source, risks, and is there a vaccine for hepatitis E? |
|
Definition
source- fecal/oral risks- poor hygiene vaccine- NO |
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|
Term
|
Definition
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|
Term
What do you have to have before you can get hep D? |
|
Definition
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|
Term
What drugs should be avoided by pts with hepatitis? |
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Definition
drugs metabolized in the liver(acetaminophen!!) |
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|
Term
What is Addison's disease? |
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Definition
endocrine disease, primary adrenal insufficiency(too little steroid production) |
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|
Term
What causes 20% of adddison disease cases? |
|
Definition
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|
Term
Do people with Addison's disease need a med con? |
|
Definition
yes, may need steroid before stressful situation like dental visit |
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|
Term
Can you use the air polisher on a patient with Addison's disease? |
|
Definition
no, may disrupt acid base balance |
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|
Term
What is Cuhing's disease? |
|
Definition
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|
Term
What usually causes Cushing's disease? |
|
Definition
prescribed corticosteroid therapy |
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|
Term
What are 2 physical signs of cushings disease? |
|
Definition
buffalo hump, moon facies (fat accumulation on the upper back and face) |
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|
Term
Do you need a med con for cushing's disease? |
|
Definition
yes, may need steroid treatment prior to strressful situation(dental appointment) |
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|
Term
What is a goiter and what may cause it? |
|
Definition
enlarged thyroid gland, may be caused by lack of iodine or graves disease |
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|
Term
|
Definition
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|
Term
What are some signs of Grave's disease? |
|
Definition
goiter, eyes popping out, nervousness, tacycardia, heat intolerant |
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|
Term
Can people with graves disease be given epi? |
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Definition
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|
Term
What are some signs of hypothyroidism? |
|
Definition
hypotension, bradycardia, dry skin, cold intolerant, obesity |
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|
Term
|
Definition
synthetic hormone replacement therapy for hypothyroidism |
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|
Term
|
Definition
early onset hypothryroidism, mental/physical retardation, macroglossia, delayed tooth eruption |
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|
Term
|
Definition
adult onset hypothyroidism, long term/undiagnosed |
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|
Term
What medication is commonly prescribed for hypothyroidism? |
|
Definition
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|
Term
What can help control involuntary movements in people with cerebral palsay during treatment? |
|
Definition
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|
Term
What usually causes celebral palsay? |
|
Definition
lack of oxygen during birth |
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|
Term
what is muscular dystrophy? |
|
Definition
progressive chronic disease causing muscle atrophy |
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|
Term
|
Definition
spine is curved(C or S shaped) |
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|
Term
What is the functional level for a C4 spinal injury? |
|
Definition
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|
Term
What is the functional level for a C5 spinal injury |
|
Definition
minimal functioning, partial shoulder/biceps |
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|
Term
What is the functional level for a C6 spinal injury |
|
Definition
sit, eat with devices, shoulder/biceps, partial wrist |
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|
Term
What is the functional level for a C7 spinal injury |
|
Definition
personal self care with devices, shoulder, biceps, wrist, partial hand |
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|
Term
What is the functional level for a C8/T1 spinal injury? |
|
Definition
personal self care, wheel chair transfer |
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|
Term
What is the first step in wheelchair transfer? |
|
Definition
ask the patient if they can transfer themself |
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|
Term
Should home fluoride be given to people with alzeimers? |
|
Definition
No they might forget that they used it |
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|
Term
When should people with ADD have appointments? |
|
Definition
mid morning after medications |
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|
Term
Should you make eye contact patients who are autistic? |
|
Definition
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|
Term
Which nerve is paralyzed with bell's palsy? |
|
Definition
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|
Term
What should be avoided in patients who are taking tricyclic antidepresants? |
|
Definition
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|
Term
Do pts with downs syndrome(trisomy 21) have an increased or decreased caries risk? |
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Definition
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|
Term
What is required for an epilepsy diagnosis? |
|
Definition
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|
Term
What is a petit mal, grand mal, and status epilipticus? |
|
Definition
petit mal- mild grand mal- severe status epilipticus- continuous convulsion lasting more than 5 mins |
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|
Term
What can phenytion (Dilantin) cause? |
|
Definition
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|
Term
Who are the patients that epi should not be used on? (3) |
|
Definition
asthma hyperthyroidism cocaine/meth |
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|
Term
What drugs does epi interact with? (3) |
|
Definition
-non selective beta blockers -tricyclic antidepressants -digoxin |
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|
Term
What is multiple sclerosis? What medicine treats it? |
|
Definition
chronic degenerative autoimmune disease of CNS, treated with Betaseron |
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|
Term
What is pakinsons disease? What is a sign of it? |
|
Definition
chronic, progressive disease of neurons that produce dopamine, causes slow movements, tremors, BRADYKINESA |
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|
Term
What is often caused from the medictaions used to treat schizophrenia? |
|
Definition
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|
Term
What is epidermolysis bullosa? |
|
Definition
slight rubbing or irritation causes large bullae |
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|
Term
|
Definition
heredity condition, tall, long slender fingers, joint problems, congential heart defects |
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|
Term
Isa premed needed for pts with Marfan? |
|
Definition
only if congenital heart defect exists |
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|
Term
What is Scleroderma(systemia sclerosis)? |
|
Definition
autoimmune disorder causing overproduction of collagen |
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|
Term
What do people with Scleroderma(systemia sclerosis) look like? What phenomenon is seen? What is an oral manifestation? |
|
Definition
-porcelain dolls -raynauds phenomenon -widening of the PDL |
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|
Term
What is raynauds phenomenon? |
|
Definition
episodic vascoconstriction of digits, white discoloration, related to cold |
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|
Term
What are some signs of heroin addiction? |
|
Definition
pinpoint pupils, decreased respiratory rate |
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|
Term
What medication is used to treat heroin overdose? |
|
Definition
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|
Term
What is cocaine? What is a sign of it? |
|
Definition
stimulant, anesthetic, vascoconstrictor, dialated pupils |
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|
Term
When can you treat a pt who uses cocaine? |
|
Definition
24 hours after use, interactions with epi |
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|
Term
When can you see pts on meth? |
|
Definition
24 hours after use, unsafe with epi |
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|
Term
What are the 5 steps to help people stop smoking? |
|
Definition
-Ask -Advise -Assess -Assist -Arrange |
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|
Term
What are some prescription antismoking drugs? |
|
Definition
-Buproprion(Zyban) -Chantix |
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|
Term
What is Buproprion(Zyban)? Possible side effect? |
|
Definition
-antidepressant -xerostomia -use epi with caution |
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|
Term
What is chantix? Side effect? |
|
Definition
nicotine agonist, xerostomia |
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|
Term
What trimester is the only appropriate one to treat a pregnant patient? |
|
Definition
|
|
Term
How should pregnant patient be positioned? |
|
Definition
on left side with pillow to elevate right hip |
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|
Term
Can nitrous be used on pg patients? |
|
Definition
|
|