-
______ INHIBITS the release of gonadotropin-releaseing hormone and reduce the release of FSH and LH
estrogens
-
t/f smoking tobacco increases the risk for thromboembolism, stroke and myocardial infarction (ADE's of estrogens)
true
-
ADE's of estrogen include candidiasis, _________ edema, _________, thromboembolism, _______ and myocardial infarction
- peripheral edema
- hypertension
- stroke
-
if someone taking estrogen has hypertension, BP should be checked _______ _________. If they are within normal limits, check ________.
- every appointment
- annually
-
oral contraceptives and potential drug interactions should be _______ to the patient
communicated
-
what does Euthyroid mean?
NORMAL
-
_____ recommends informing women of POSSIBILITY that anti-biotics may ________ efficacy of oral contraceptives
-
thyroid hormes + _________ = glycogenolysis
epinepherine
-
t/f glycogenolysis is hyperglycemia
true
-
what are ADEs of thyroid drugs (in red)?
- nervousness
- hypertension
- sweating with excessive doses =
- hyperthyroid condition
-
what should be done when someone takes thyroid drugs before treatment?
monitor vitals
-
which technique should be used with someone taking thyroid drugs before giving an injection?
aspirating technique
-
if someone has hyperthyroidism, DO NOT TREAT if they are unable to meet ___ _____ demand!
6 MET
-
low concentration of a vasoconstrictor is ___ carps of 1:100k epi or ___ carps of 1:200k epi
-
t/f if someone is using thyroid drugs, you dont need to be aware of local anesthetics with vasoconstrictors
FALSE! use caution!
-
propylthiouracil is an _______ drug
antithyroid
-
what are signs and symptoms of a (hyperthyroidism) thyroid storm? (5)
- excess levels of thyroid hormone
- elevated temp
- tachycardia
- respiratory distress (<10 or >20 bpm)
- sweating
-
for hyperthyroidism, a combination analgesics with ______ is contraindicated
ASA
-
what should be used for hyperthyroidism?
acetominophen
-
hyperthyroidism is an increased cardiac risk if unable to meet ___ MET
4
-
t/f vasoconstrictors should be used with caution with someone with hyperthyroidsim
true
-
what should ALWAYS be done because of thyroid storm possiblity?
monitor vitals
-
_________ (ONJ) of the jaw is the ______ important side effect of bisphosphonates
- osteonecrosis of the jaw
- most
-
DH role in AAOM prevention and management considerations are: (3)
- Examination for dental disease
- Periodontal therapy for oral health
- Restoration of caries or broken teeth to PREVENT need for extraction
-
medical management goals of therapy for pancreatic hormone intake = reduce _______ blood glucose levels to < ______ mg/dL and HbA1c levels to < __%
-
what is most likely to occur when INSULIN is at PEAK effect?
hypoglycemia
-
when is it best to treat patients that take insulin?
in the morning after taking agent and having breakfast
-
what two agents are most likely to cause hypglycemia?
-
what is the MOST common medical emergency when someone is taking pancreatic hormones?
HYPOglycemia
-
hyperglycemic crisis = ____ ____ which RARELY occurs in dental office, pt can ____
-
what are clinical signs and symptoms of hypoglycemia? (4 in red)
- dizziness
- impaired consciousness
- lack of concentration
- sweating
-
what should you question the patient with hypoglycemia? 2
- ask about their hypoglycemic drug therapy
- and if a meal was consumed
-
what should be asked/performed to a pt about hypoglycemic therapy? 2
- ask last A1C value and recent fasting blood glucose level
- always monitor vitals
-
t/f a hypoglycemic pt should premed before dental therapy
FALSE! no studies support this
-
what should you instruct a pt that is hypoglycemic?
- meticulous oral hygiene
- recall at regular intervals
-
the anterior pituitary secretes _______ hormone (GH), ___________ hormone (FSH, LH), ___________ hormone (ACTH), _________-_________ hormone (TSH), and prolactin
- growth
- gonadotrophic
- adenocorticotropic
- thyroid-stimulating
-
anterior pituitary drugs are administered by _________
injection
-
diabetes insipidus is caused by ________ of _________
-
how is desmopressin acetate administered?
nasal spray
-
what drug treats diabetes insipidus and clotting disorders?
desmopressin
-
what are the 2 glucocorticosteroids mechanisms of action?
- decrease inflammation
- suppress immune system
-
the decrease of inflammation of glucocorticosteroids ______ migration of _____ (polymorphonuclear leukocyte) and reduce _____ permeability
-
what are the ADEs of glucocorticosteroids? 2
- delayed wound healing
- possible infection
-
which disease is very low to undetectable levels of aldosterone and cortisol in blood?
ADDISONS
-
what is the treatment of addison's disease?
oral glucocorticoid and mineralocorticoid daily
-
_______ events may require additional doses for addison's disease
stressful
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