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robbypowell's version from 2016-10-25 01:04

Dental implications for cardio drugs

Question Answer
avoiding stress should be a consideration for patients on anti-_____ drugs, anti-_____ drugs or _____ _____Anti-arrhythmics; Anti-anginal drugs; & Digitalis Glycosides (Digoxin & Digitoxin)
T/F: A cardiologist should be consulted when using epinephrine on a patient taking anti-arrhythmicsTrue
Drugs that induce hypokalemia (loop diuretics, Furosemide; Thiazides) are a concern because they can increase the toxicity of _____ ______digitalis Glycosides
This class of drugs is known to induce gingival HyperplasiaCalcium channel blockers (esp. Nifedipine)
A patient with on cardiovascular disease drugs mainly has their needs addressed by a dentist that manages their _______STRESS
Prazosin and epinephrine can induce ______-tensionHypotension (A1 blocker)
Propanolol and epinephrine can induce ______-tensionHypertension (non-selective beta blocker)
For patients with a higher ASA it is especially important to manage their _____STRESS
rare brain malformation characterized by the absence or underdevelopment of the cerebellar vermis - an area of the brain that controls balance and coordination -- as well as a malformed brain stem (***molar tooth sign***)Joubert Syndrome
3 different possible manifestations of Joubert Syndrome (molar tooth sign)hypotonia, cognition problems, & dyspnea
memorize

What does the drug treat?

Question Answer
• QuinidineArrhythmia (Type 1A Sodium & Potassium channel blocker)
• ProcainumideArrhythmia (Type 1A Sodium & Potassium channel blocker)
• DysopyramideArrhythmia (Type 1A Sodium & Potassium channel blocker)
• LidocaineArrhythmia (Type 1B diff nerve blockade NO SUPRA VENTRICULAR)
• PhenytainArrhythmia (Type 1B diff nerve blockade NO SUPRA VENTRICULAR)
• TocainideArrhythmia (Type 1B diff nerve blockade NO SUPRA VENTRICULAR)
• MexilethineArrhythmia (Type 1B diff nerve blockade NO SUPRA VENTRICULAR)
• DlecainideArrhythmia (Type 1C, affect Phase 0)
• ProparenoneArrhythmia (Type 1C, affect Phase 0)
• MoricizineArrhythmia (Type 1C, affect Phase 0)
• PropranololArrhythmia (Type 2; Beta Blocker) Angina Pectoris (non-selective beta-blocker) HTN
• ElsmololArrhythmia (Type 2; Beta Blocker)
• AmidineArrhythmia (Type 3; Potassium blocker)
• BretyliumArrhythmia (Type 3; Potassium blocker)
• SotalolArrhythmia (Type 3; Potassium blocker)
• VerapamilArrhythmia (Type 4; Calcium Channel Blocker) Angina Pectoris (systemic) HTN(induces ging hyperplasia)
• DiltiazemArrhythmia (Type 4; Calcium Channel Blocker) Angina Pectoris (systemic) HTN (induces ging hyperplasia)
• NifedipineAngina Pectoris (Cardio-selective, aka non-systemic) NOT Arrhythmia
• AdenosineArrhythmia (no type; A1 receptor antagonist; • Increase Potassium conductance and decrease SA node)
• DigoxinSystolic Heart Failue (Digitalis Glycoside; excreted unaltered by KIDNEY... don't give with Renal concerns)
• DigitoxinSystolic Heart Failure (Digitalis Glycoside; eliminated by LIVER... don't give with liver concerns)
• NitroglycerineAngina (nitrate) (administered sublingually)
• Isosorbide dinitroideAngina (nitrate) (oral administration)
• Transdermal nitrolgylcerineAngina (nitrate) ( long acting)
• Amyl nitrateAngina ( spray)
• AtenololAngina ( B1 selective blocker) HTN
• MetaprololAngina ( B1 selective blocker) HTN
• TrimetazidineAngina (anti-ischemic)
• HydrochlorothiazideHypertension (Thiazide diuretic, non-K sparing)
• FurosemideHypertension (Loop diuretic, non-K sparing)
• TriamterineHypertension (K-sparing diuretic; acts in collecting ducts)
• AmilorideHypertension (K-sparing diuretic; acts in collecting ducts)
• SpironolactoneHypertension (K-sparing diuretic; **aldosterone antagonist**)
• AcetozolamideHypertension (Carbonic Anhydrase Inhibitor)
• MercaptormerinHypertension (Organic Mercurial Diuretic)
• MannitolHypertension (Osmotic Diuretic, freely filtered by glomerulus)
• CaptoprilHTN (ACE inhibitor)
• LisinoprilHTN (ACE inhibitor)
• LosartanHTN (Angiotensin Receptor 1 Antagonist) (ATR1A)
• ValsartanHTN (Angiotensin Receptor 1 Antagonist) (ATR1A)
• CandesartanHTN (Angiotensin Receptor 1 Antagonist) (ATR1A)
• PrazosinHTN (A1 receptor antagonist) (epi interaction ***)
• DoxasoinHTN (A1 receptor antagonist) (maybe epi interaction??? not specifically stated)
• GuanethidineHTN (Postganglionic Sym Block) (false NT) (lowers NE conc)
• ReserpineHTN (Postganglionic Sym Block) (blocks uptake of NE) (**no longer used bc induces depression and sedation)
• HydralzineHTN (Vasodilator)
• MinodisilHTN (Vasodilator) (blocks calcium uptake)
memorize

These drugs treat multiple conditions

Question Answer
Name the 3 drugs that treat 3 CVD conditions... what are the 3 conditions they all treat? (same 3 conditions)Propanalol (non-selective B adrenergic blocker), Verapamil & Diltiazem (both are Ca Channel Blockers); These drugs treat ARR, Angina, & HTN
Name the 2 drugs that treat 2 CVD conditions... what are the 2 conditions they both treat? (same 2 conditions)Atenolol & Metoprolol (both B1-selective blockers); Angina & HTN
Of the 5 drugs (from given list that are listed with multiple conditions) 5 of them treat the same 2 conditions... what are the 5 drugs and what are the 2 conditions?Propanalol (non-selective B adrenergic blocker), Verapamil & Diltiazem (both are Ca Channel Blockers), Atenolol & Metoprolol (both B1-selective blockers); ALL TREAT ANGINA & HTN (the first 3 also treat arrhythmias)
memorize

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