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30 Cards in this Set

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Treatment alteration for: Malignant hyprthermia
Use amides cautiously
Relative contraindication
Treatment alteration for:
Atypical psudocholinesterase
Do not use esters
Relative contraindication
Treatment alteration for:
Significant liver dysfunction
Use local anesthetic cautiously
Relative contraindication
Treatment alteration for:
Renal dysfunction
Use local anesthetic cautiously
Relative contraindication
Treatment alteration for:
Mehemoglobinemia
Do not use esters OR prilocaine
(decreased blood O carrying capacity as do esters and prilocaine)
Relative contraindication
Treatment alteration for:
Pts taking acetaminpphen or phenacetin
Avoid use of prilocaine.
(As they may cause Mehemoglobinemia)
Relative contraindication
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
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
Treatment alteration for:
Pts on opiod sedation
morphine, oxycodone
minimize dosage of all anesthetics
( decrease amide metabolism)
Relative contraindication
Treatment alteration for:
Pts on sulfonamides/sulfa drugs
Do Not use ester local anesthtics w/ sulfoamides
(not an issue in the US)
Relative contraindication
Treatment alteration for:
recent or multiple myocardial infarctions
No dental TX for six months
Absolute contraindication
Treatment alteration for:
Heart surgery
No dental TX for six months
Absolute contraindication
Treatment alteration for:
Uncontroled high blood pressure
No vasoconstrictor, no elective treatment
Absolute contraindication
Treatment alteration for:
Daily angina or uncontrolled arrhythmias
No vasoconstrictor, no elective treatment
Absolute contraindication
Treatment alteration for:
Diabetes
No vasoconstrictor
Absolute contraindication
Treatment alteration for:
Pts with allergys to sulfites
No Vasoconstrictor
(meta -sulfites are added to slow oxidation of epi)
Absolute contraindication
Treatment alteration for:
Uncontrolled hyperthyroidism
No Vasoconstrictor
(can cause thyroid storm)
Absolute contraindication
Treatment alteration for:
Pheochromocytoma
No Vasoconstrictor
(tumor of the adrenal gland that causes too much epi)
Absolute contraindication
Treatment alteration for:
Cocaine
No Vasoconstrictor
(Within 24 hours of use)
Absolute contraindication
Treatment alteration for:
Glaucoma
Limit the amount of vasoconstrictor
(causes increased occular pressure)
Relative contraindication
Treatment alteration for:
Controlled diabetes
Limit the amount of vasoconstrictor
(opposes insulin possible changes in blood glucose levels)
Relative contraindication
Treatment alteration for:
Controlled hyperthyroidism
Limit the amount of vasoconstrictor
Relative contraindication
Treatment alteration for:
stable angina
Limit the amount of vasoconstrictor
Relative contraindication
Treatment alteration for:
Pts on antihypertenstives
Limit the amount of vasoconstrictor
(increase BP)
Relative contraindication
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
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
Treatment alteration for:
Pts taking phenothiazide, Thorazine, Chlorpromazine, Vesprin
Limit the amount of vasoconstrictor
use with caution
( antipsychotic drug)
Relative contraindication
Treatment alteration for:
Pts taking non selective beta blockers
Limit the amount of vasoconstrictor
consider anesthetic W/O vaso
Relative contraindication
Treatment alteration for:
Cocaine abusers
Limit the amount of vasoconstrictor
Relative contraindication
Treatment alteration for:
Halogenated General Anesthetics
Halothane
Limit the amount of vasoconstrictor
Relative contraindication