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Dental Meds > Module 12 Exam 4 > Flashcards

Module 12 Exam 4 Flashcards

(74 cards)

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1
Q

What is an analgesic

A

a drug that releives pain

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2
Q

What is an opiod analgesic

A

natural or synthetic morphine like substance

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3
Q

Morphine is an

A

opioid

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4
Q

What is a general term to describe opiod like drugs

A

narcotic

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5
Q

what are a couple of narcotics

A

natural-morphine

synthetic- Demerol

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6
Q

WHat is the protype narcotic anagesic

A

morphine

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7
Q

What are the effects of morphine

A

analgesia, drowsiness, nausea

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8
Q

what is put in with morphine to help prevent nausea

A

Phenergan

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9
Q

What kind of endorphines do narcotic anageisics effect

A

endogenous

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10
Q

What is the effect on the body of morphine

A

-miosis
respiratory depression
euphoria
body warrmth/flushing/itching

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11
Q

What is methadone

A

opiod

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12
Q

what is methadone used for

A

treatment of opiod addiction, not euphoric

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13
Q

What is a synthetic narctoic anagesic

A

demerol*

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14
Q

What should not be used with demerol

A

antidepressants

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15
Q

What is a semisynthetic of morphine

A

Dilaudid

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16
Q

what is 10 times more potent than morphine

A

dilaudid

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17
Q

What is added to codiene derivates to prescribe a amaller dose of narcotic and still get sufficemt pain control

A

acteaminphen or aspririn

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18
Q

What is percocet

A

oxycodone and acetaminophen*

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19
Q

what is percodan

A

oxycodone and aspirin*

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20
Q

what is tylos

A

oxycodone and acetopminphen*

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21
Q

what is the generic and brand name of oxycontin

A

oxycodone

roxicodone

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22
Q

What is oxycontin

A

a controlled release form of oxycontin

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23
Q

What was addied to oxycontin to prevent grinding or injectin

A

binders

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24
Q

What is hydrocodone

A

lortab* (semisynthetic)
Vocoprofen*
Lorcet*
Vicodin*

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25
What is codiene*
natrually occruing narcotic agonist, more ative orally than any othe ropiod
26
When is there increased sedation with codiene
when pt is using St. Johns wort
27
What is soma*
used to relax muslces in TMJ, aspririn, Codeiene, carisoprodol
28
What 2 medications are as effective as aspirin or acetaminophen
Darvon | Darvocet*
29
What are two typees of depressant drugs
barbituates* | denzodiazepines*
30
What do narcotics cause
respiratory depression
31
What are non narcotic anallgesics
- dont act on CNS - act peripherally - most used drugs in world
32
What is aspririn
acetylsalicylic acid
33
What does asprin ihibit
synthesis of prostaglandins | anti pyretic
34
aspirin should not be given under the age of
19
35
What is reye's syndrome (aspirin)
repetitive vomiting, lethargy, headache, fever
36
What is acetaminophen
tylenol
37
what does tylenol do
anti inflammatory, no effec on platelets, less GI upset
38
What are NSAIDS
antiinflammatorys, reduces clotting
39
What is psychosis characterized by
``` -delusions hallucinations paranoia lack of interest emotional and social withdrawal ```
40
what does serotonin regulate
sleep, mood, appetite, cognitive learning
41
What does dopamine regulate
cognition, motivation, sleep, mood, attention, memory
42
What is the most common type of psycosis
schizophenia
43
what are the most misunderstood menal health disorders
psychotic disorders
44
What do antispsychoticcs to
palliative, dont cure
45
What do older "typical" antipsychotics bind to
dopamine receptors
46
what is an example of an older antipsychotic
*thorazine
47
What are atypical antipsychotic meds
Riperdal* Abilify* Clozaril*
48
What are atyppical antipsychotics used to treat
schizophenia-bipolar disorders
49
What are side effets of psychopharmalogical drugs
photosensitivity, parkinson like movement, Tardive dyskinesia
50
What are oral side effets of psychopharmacological drugs
xeriostomia root caries oral candidiasis
51
What should we do in people taking psychopharmacological drugs
monitor for perio limit use of epi mouthguard
52
To diagnose depression 5 of what symptoms must be present every day for 2 2weeks
``` depressed mood decreased interest weight gain sleep changes worthlessness ```
53
What are the 3 primary classes of antidepressants
-MAOI TCA SSRI
54
what is monoamine oxidase
enzyme that breaks down catecholamine neurotransmitters
55
what do MAOIs do
increase activity of neurotransmitters
56
What is the most potent antidepressant
MAOI
57
What antidepressant is reserved for severly depressed people
MAOI
58
What are 2 examples of MAOIs
* Nardil | * marplan
59
What do Tricyclic Antidepressants do (TCAS)
inhibit the reuptake of NE and or setotonin
60
What are TCAS recommended for besides depression
bruxism, orofacial pain
61
What is the most significatn side effect of TCAS
nonselective affinity and blockage of other receptors
62
What are 2 TCAS?
* Tofranil | * Elavil
63
What have TCAS been replaced by
SSRIs
64
What are the many adverse side effects of TCAs thought to be due to
their non selective binding to receptors
65
What do SSRIs do
selectively inhibit serotoni reuptake, no affinity for NE or EPI
66
What are the side effects of SSRIs
diarrhea, nausea, gi bleeding, bruxism
67
What are 4 SSRIs
* prozac * paxil * zoloft * wellbutrin
68
What is ADHD
increase release of NE and dopamine in the cerebral cortex
69
Whas is RAS responsible for regulating
arousal, sleep-awake
70
What do psychostimulants do in hyperactive people? in non hyperactive people
calming | excitability
71
what is a psychostimulant used in ADHD
Ritalin*
72
What are the dental managment considerations for pts taking anti depressants
limit EPI to 2 carps of 1:100,000
73
What is biopolar disordder
chronic serious psychiatric condition
74
What medication is used in the tx of bipolar disorder
lithium (lithobid)*

Dental Meds (12 decks)

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