Common Meds in Dentistry

Mind Map by , created almost 6 years ago

Dentistry Mind Map on Common Meds in Dentistry, created by tihema.nicol on 10/27/2013.

Created by tihema.nicol almost 6 years ago
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Common Meds in Dentistry
1.1 Hypertension
1.1.1 Metroprolol Beta Blocker B-1 Adrenergic Receptor ANTAGONIST. Acts on receptors in heart ONLY, not lungs (asthma). Decreases HR, CO & BP. POstural Hhypotension an issue. DONT prescribe NSAIDS - Do the same thing so will double up. Dont us Mepivicaine as both metabolised by liver
1.1.2 Cilazapril ACE Inhibitor Stops ACE from converting Angiotensin1 --> Angiotensin2 (Vasoconstrictor) = Net Vasodialtion. Dry cough common, Angiodema 0.1-0.07%
1.2 MI, Stroke
1.2.1 Asprin
1.3 Atherosclerosis
1.3.1 Simvastatin HMG-CoA Reductase Inhibitor Decreases Total Serum Cholesterol. Prevents plaques progressing. Angiodema. Interactions w AB's & AF's
2 Pain
2.1 Paracetamol
2.1.1 Cox-2 Inhibitor Not antithrombotic as cox-2 selective. Good for mild dental pain. Max dose 10x 500mg tabs/24hrs. May cause liver toxicity
2.2 Ibuprofen
2.3 Asprin
3 Inflammation
3.1 Ibuprofen
3.1.1 NSAID Anti-inflammatory, Anlagesic, Antipyretic. Inhibits Prostaglandin synthesis = Decreases pain, heat, swelling etc. Careful not to OD.
3.2 Asprin
3.2.1 Cox Inhibitor Anti-inflam, Anti-pyretic, Anti-platelet. Increases bleeding after exo, endo etc
4 Asthma
4.1 Salbutamol
4.1.1 B-2 Adrenergic Receptor AGONIST For Treatment of Bronchospasms in Asthma. "Reliever" Dry mouth, Oral Candidosis. Careful with NSAID interaction. B-1 agonsit NSAIDS harmful in asthma attacks
5 GORD/ Gastric Ulcers
5.1 Omeprazol
5.1.1 Proton Pump Inhibitor Decreases Acid Production in Stomach. Px may have ^^ Erosion in mouth - Occlusal Max Molars. May interfere w antifunglas
6 Contraception
6.1 OCP
6.1.1 Oestrogen + Progesterone Some Antibiotics/ Antifungals may affect OCP function. Usually decreases its absorption & increases its secretion via plasma binding protein.
7 Osteoperosis
7.1 Alendronate
7.1.1 Bisphosphonate Decreases Bone turnover How? osteoblast > osteoclast activity Can cause bisphosphonate ONJ Painless necrosis usually after exo or apical infection

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