Depression Flashcards
1
Q
The patient feels unhappy and no motivation to take drugs (but with no suicidal intention), what psychological condition?
A
Depression
2
Q
What is the implication of the medication for depression and how it affects your treatment plan? (7)
A
• Xerostomia (Solution: fluoride varnish, provide artificial saliva, moisturizing gel, drink more water)
- Lower blood pressure (may get dizzy easier)
- Less interest in good oral hygiene (Be more supportive, non-judgmental, Use motivational interview)
- Drug interactions
- May want to consult physician prior to treatment (o Patient current psychological status, medication, whether status stable and suitable for treatment)
3
Q
How does drug interactions affect your treatment plan?
A
- Use with NSAID increase bleeding risk
SSRI may deplete platelet serotonin, which is needed for aggregation
Short term NSAID use should be ok (2-4 days) – avoid in elderly +/ history of GI ulcer/bleeding
- LA with adrenaline has significant effect on cardiovascular system like risk of hypertension and arrhythmias
Use with proper aspiration technique and no more than 3 cartridges of adr-containing LA used or use alternative 3% mepivacaine without adr
