Cocaine Flashcards

1
Q

cocaine

A
local anesthetic (block sodium channels)
blocks NE reuptake
causes vasoconstriction
short duration
toxic above 30mg
most effective through IV injection
breakdown in liver by cholinesterase
increased seizure risk
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2
Q

signs of cocaine use

A
impaired judgement
hyper-vigilance
agitation
paranoia
toxic psychosis
hypertension
tachycardia
rhinitis, nasal ulcerations
stridor (high-pitched breathing)
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3
Q

cocaine withdrawal

A
depression
fatigue
muscle pain
tremors
hypersomnia
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4
Q

dental effects of cocaine

A
bruxism
heavy brushing
prolonged bleeding after extractions
pyrolysis products (brown stains on mucosa)
laryngeal burns
difficulty swallowing
mid-palatal ulcers/perforations
avoid LA w/epi
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