Term
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Definition
Coumarin derivative (coumadin/warfarin)
Antiplatelet agent (plavix/clopidogrel)
Salicylate (aspirin/Acetylsalicylic acid)(no need to stop surgery) |
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Term
|
Definition
Beta 1 blocker (atenolol)
Calcium channel blocker (Norvasc/Amlodipine)
Ace inhibitor (lisinopril)
Diuretics (Hydroclorothiazide (HCTZ)) |
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Term
|
Definition
Benzodiazapines (Valium/ Diazepam or better Xanax/Alprazolam)
Non Benzodiazepine Anxiolytics and hypnotics (diphenhydramine)
Barbiturates (pentobarbital) |
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Term
| Why should elective TX be postponed? |
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Definition
-AMI (acute myocardial infaction) in last 6 months
-Stroke in last 6 months
-Uncontrolled non-compliant diabetics
-BP above 180/110 (diastolic most important)
-HIV/AIDS with CD4 < 50 and or platelet count < 60,000
-INR > 3.5 (if extraction is tx)
-undiagnosed untreated chest pain |
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Term
|
Definition
120-139/80-89 mm Hg.
Good candidates for anesthesia with epi 1:100.000. |
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Term
| Mild to moderate hypertension |
|
Definition
140-180/90-110 mmHg.
overall assessment should be made based off complexity of tx.
avoid epi and retraction cords |
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Term
|
Definition
| anything above 180/110 mmHg |
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Term
| Do not use antibiotic prophylactics for? |
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Definition
Heart murmur
Hypertrofic obstructive cariomyopathy
Rheumatic heart fever
Mitral valve surgery
Catheter in the right side of the heart
Idiopathic hypertrofic aorta stenosis
Osteogenesis imperfecta
Severe Arteriosclerosis |
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Term
| Current prophylaxis dental tx recomendations (cardiac)? |
|
Definition
Prosthetic cardiac valve
Previous infective endocarditis
Congenital Heart Disease (CHD)... only when unrepaired cyanotic chd, 6months after any surgery, repaired CHD with residual defects at the site or adjacent to the site of aprosthetic patch or posthetic device (which inhibit endothelialization)
-cardiac translantation recipients who develop cardiac valvulopathy |
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Term
|
Definition
Inhibit the transition of fibrinogen to fibrin and delays the formation of thrombin from prothrombin by interfering with the activity of thromboplastin. inhibits aggregation of platelets.
-was previously only used in a hospital setting, but new mini-heparins (LMWH) is increasingly used on an outpatient basis |
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Term
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Definition
| induces vitamin-k dificiency. depresses hepatic synthesis of coaguation factors |
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Term
|
Definition
Thienopyridine antiplatelet agent.
Works by inhibiting platelet aggregation |
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Term
| First choice pregnancy antibiotics? |
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Definition
| Penicillin, cephalosporins, erythromycin, azithromycin |
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