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
2
Q
signs of cocaine use
A
impaired judgement hyper-vigilance agitation paranoia toxic psychosis hypertension tachycardia rhinitis, nasal ulcerations stridor (high-pitched breathing)
3
Q
cocaine withdrawal
A
depression fatigue muscle pain tremors hypersomnia
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