Exam 4: Objectives (Abuse) Flashcards Preview

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Flashcards in Exam 4: Objectives (Abuse) Deck (16):
1

List the signs of intoxication

1. Impaired judgement
2. Emotional instability
3. Nystagmus
4. Slurred Speech
5. Dilated pupils
6. Ataxia

2

Name the Oral complications of Alcoholism

1. Glossitis
2. Loss of tongue papillae
3. Leukoplakia and ulceration of lateral borders of the tongue
4. Angular Cheilitis
5. Fungal infections
6. Oral cancer (Squamous cell)
7. Bleeding (from liver damage)

3

What three things do you have caution with in patients who have addiction history

Opiates
Benzodiazepines
Nitrous oxide

- Could make a recovered patient with alcoholism relapse

4

Describe the reasons why Elderly people are more sensitive to alcohol

1. Metabolize alcohol more slowly
2. Alcohol stays in body longer
3. Decreased body water = alcohol more concentrated
4. Aging lowers body's tolerance

5

List the considerations of alcohol use in older adults

1. Decreased body water and lean body mass = higher concentration of alcohol
2. Decline in liver and kidney function
3. Malnutrition/weight loss
4. Injuries/falls
5. Elderly more sensitive to effects of alcohol

6

Consequences of Chronic alcoholism in elderly individuals

1. Biological brain disorder
2. Systemic health problems
3. Fatigue, weight loss (caused by systemic health problems)
4. Worsening of existing conditions
5. Psychological

7

Chronic signs of alcoholism

1. Arrhythmias
2. Hypertension
3. Liver damage/cirrhosis (Bleeding)
4. Hepatitis
5. Cancer - Oropharyngeal/Liver
6. Peripheral neuropathy
7. Amnesic syndrome
8. Impotence

8

Treatment for Alcoholism

1. Ventilation support
2. Fluids and electrolytes
3. Vitamin B6
4. Glucose
5. Sodium bicarbonate
6. Magnesium
7. disulfiram (Antabuse)

9

List the dental treatment considerations for alcoholism

1. Poor oral hygiene from neglect
2. Bilateral enlarged parotid glands
3. Liver failure = causes increased risk for bleeding, including gingival bleeding
4. Ascites
5. Difficulty metabolizing drugs

10

List the symptoms of overdose with CNS stimulants

1. Dilated pupils
2. Hypertension
3. Elevated pulse
4 Cardiac arrhythmias
5. Extreme sweating
6. Hyperthermia = leads to brain damage, seizures, death
7. Hyperactive behavior
8. Tremors

11

List the signs of acute opioid overdose

1. Fixed, pinpoint pupils (miosis)
2. Depressed respiration
3. Hypotension
4. Shock
5. Slow or absent reflexes
6. Drowsiness
7. Coma

12

Signs of cocaine use

1. *Nasal bleeding/necrosis
2. *dilated pupils
3. *hypertension = never give epinephrine within 24 hours of cocaine use
4. Headache
5. Tremors
6. Alertness
7. Talkativeness
8. *Gingival recession, bleeding and alveolar bone necrosis in maxillary premolar area

13

side effects of Ecstasy

- Later effects = fatigue and insomnia
- Tolerance --> need larger dose
- Hepatotoxic
- Long-term psychiatric problems
- Fatal

14

List the clinical signs of methamphetamine use

1. Dilated pupils
2. Hypertension and tachycardia
3. Anorexia
4. Increased sweating
5. Moodiness
6. Xerostomia
7. Bruxism

15

List attributes of Meth mouth

- Erosion of teeth
- Poor oral hygiene from neglect
- Caries from craving sweets and xerostomia
- Periodontal infection
- Bruxism
- Tissue damage
- Oral ulcerations and infections
- Oral burns

16

**List the signs or symptoms of acute overdose of CNS Stimulants

1. Dilated pupils
2. Hypertension
3. Elevated pulse
4. Cardiac arrhythmias
5. Extreme sweating
6. Hyperthermia
7. Hyperactive behavior
8. Tremors