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30 Cards in this Set
- Front
- Back
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Treatment alteration for: Malignant hyprthermia
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Use amides cautiously
Relative contraindication |
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Treatment alteration for:
Atypical psudocholinesterase |
Do not use esters
Relative contraindication |
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Treatment alteration for:
Significant liver dysfunction |
Use local anesthetic cautiously
Relative contraindication |
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Treatment alteration for:
Renal dysfunction |
Use local anesthetic cautiously
Relative contraindication |
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Treatment alteration for:
Mehemoglobinemia |
Do not use esters OR prilocaine
(decreased blood O carrying capacity as do esters and prilocaine) Relative contraindication |
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Treatment alteration for:
Pts taking acetaminpphen or phenacetin |
Avoid use of prilocaine.
(As they may cause Mehemoglobinemia) Relative contraindication |
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Treatment alteration for:
Pts regularly taking Histamine antagonsts cimetadine: (Tagamet, Zantac) |
Reduce dosage of amides by 1/2 and avoid lidocaine if possible
(decreases blood flow to liver and slows matabolisum of drugs) Relative contraindication |
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Treatment alteration for:
Pts taking antianxiety drugs: Diazipam (Valium), benzodiazepines, lorazipam |
minimize dosage of all anesthetics
(system depressants that may increase the depressive effects of LA) Relative contraindication |
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Treatment alteration for:
Pts on opiod sedation morphine, oxycodone |
minimize dosage of all anesthetics
( decrease amide metabolism) Relative contraindication |
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Treatment alteration for:
Pts on sulfonamides/sulfa drugs |
Do Not use ester local anesthtics w/ sulfoamides
(not an issue in the US) Relative contraindication |
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Treatment alteration for:
recent or multiple myocardial infarctions |
No dental TX for six months
Absolute contraindication |
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Treatment alteration for:
Heart surgery |
No dental TX for six months
Absolute contraindication |
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Treatment alteration for:
Uncontroled high blood pressure |
No vasoconstrictor, no elective treatment
Absolute contraindication |
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Treatment alteration for:
Daily angina or uncontrolled arrhythmias |
No vasoconstrictor, no elective treatment
Absolute contraindication |
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Treatment alteration for:
Diabetes |
No vasoconstrictor
Absolute contraindication |
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Treatment alteration for:
Pts with allergys to sulfites |
No Vasoconstrictor
(meta -sulfites are added to slow oxidation of epi) Absolute contraindication |
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Treatment alteration for:
Uncontrolled hyperthyroidism |
No Vasoconstrictor
(can cause thyroid storm) Absolute contraindication |
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Treatment alteration for:
Pheochromocytoma |
No Vasoconstrictor
(tumor of the adrenal gland that causes too much epi) Absolute contraindication |
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Treatment alteration for:
Cocaine |
No Vasoconstrictor
(Within 24 hours of use) Absolute contraindication |
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Treatment alteration for:
Glaucoma |
Limit the amount of vasoconstrictor
(causes increased occular pressure) Relative contraindication |
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Treatment alteration for:
Controlled diabetes |
Limit the amount of vasoconstrictor
(opposes insulin possible changes in blood glucose levels) Relative contraindication |
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Treatment alteration for:
Controlled hyperthyroidism |
Limit the amount of vasoconstrictor
Relative contraindication |
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Treatment alteration for:
stable angina |
Limit the amount of vasoconstrictor
Relative contraindication |
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Treatment alteration for:
Pts on antihypertenstives |
Limit the amount of vasoconstrictor
(increase BP) Relative contraindication |
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Treatment alteration for:
Pts with significant heart disease taking digitalis glycosides |
Limit the amount of vasoconstrictor
( increases cardiac arythmias, drugs used to treat CHF) Relative contraindication |
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Treatment alteration for:
Pts taking thrcyclic anidepressants |
Limit the amount of vasoconstrictor
DO NOT GIVE LEVNODEFRINE ( increases the effectivness of vaso, may cause accute hypertension and cardiac dysrhythmias) Relative contraindication |
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Treatment alteration for:
Pts taking phenothiazide, Thorazine, Chlorpromazine, Vesprin |
Limit the amount of vasoconstrictor
use with caution ( antipsychotic drug) Relative contraindication |
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Treatment alteration for:
Pts taking non selective beta blockers |
Limit the amount of vasoconstrictor
consider anesthetic W/O vaso Relative contraindication |
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Treatment alteration for:
Cocaine abusers |
Limit the amount of vasoconstrictor
Relative contraindication |
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Treatment alteration for:
Halogenated General Anesthetics Halothane |
Limit the amount of vasoconstrictor
Relative contraindication |
