17: R

R

Drug Class:

Antisecretory, proton pump inhibitor

Serious Reactions

Drug Class:

Synthetic estrogen

Drug Class:

Antiretroviral agent, integrase inhibitor

Serious Reactions

Dental Considerations

Drug Class:

Angiotensin-converting enzyme (ACE) inhibitor

Serious Reactions

Dental Considerations

General:

• Monitor vital signs at every appointment because of cardiovascular and respiratory side effects.

• After supine positioning, have patient sit upright for at least 2 min before standing to avoid orthostatic hypotension.

• Patients on chronic drug therapy may rarely have symptoms of blood dyscrasias, which can include infection, bleeding, and poor healing.

• Assess salivary flow as a factor in caries, periodontal disease, and candidiasis.

• Limit use of sodium-containing products, such as saline IV fluids, for patients with a dietary salt restriction.

• Use vasoconstrictors with caution, in low doses, and with careful aspiration.

• Stress from dental procedures may compromise cardiovascular function; determine patient risk.

• Short appointments and a stress-reduction protocol may be required for anxious patients.

Drug Class:

H2 histamine receptor antagonist

Indications And Dosages

Drug Class:

Monoamine oxidase inhibitor

Serious Reactions

Dental Considerations

Drug Class:

Oral antidiabetic, meglitinide class

Serious Reactions

Dental Considerations

Drug Class:

Antiadrenergic agent, antihypertensive

Drug Class:

Antibiotic

Drug Class:

Thrombolytic

Serious Reactions

Dental Considerations

Jan 5, 2015 | Posted by in General Dentistry | Comments Off on 17: R
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