Stress Flashcards

1
Q

What is the definition of stress

A
  • to emphasis certain words in speech
  • a force applied to the body
  • emotional or mental pressure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name some physical stressors

A
  • injury, surgery
  • infection, shock
  • pain
  • exposure in cold
  • sustained exercise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What body systems are involved in stress response

A
  • nervous
  • endocrine
  • immune
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What do the effects of stress depend upon

A
  • duration and severity of the stressor
  • the effectiveness of any responses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the stages in stress

A
  • alarm reaction
  • resistance phase
  • exhaustion phase
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the alarm reaction

A
  • fight, flight, fright response
  • physiological effects
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe the resistance phase

A

Adapting to stressor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe the exhaustion phase

A
  • severe, persistent stress
  • responses futile, systems fail
  • pathological effects
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe the acute stress response

A
  • fight, flight or fright response
  • essentially a physiological response to a physical threat
  • components - neural and hormonal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe the components involved in the alarm reaction

A

Neural - sympathetic nervous system
Hormonal - adrenal glands - adrenaline (adrenal medulla) and corticosteroids (adrenal cortex)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe what happens to the sympathetic nervous system

A
  • increased cardiac output, increased heart rate, increased ventricular contractibility
  • redistribution of cardiac output, increased flow to muscles, decreased flow to gut and kidney
  • metabolic - glycogen breakdown > glucose release, mobilisation of fat stores

Stimulation of adrenaline release

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Function of adrenaline in the alarm response

A

Adrenaline is secreted by the adrenal medulla and is functionally part of the sympathetic nervous system
- prolongs the action of sympathetic nerves - increased cardiac output, redistribution of cardiac output, metabolic effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the function in glucocorticoids in the alarm reaction

A
  • secreted by adrenal cortex
  • cortisol is the main stress hormone
  • its action complement those of the sympathetic nervous system and adrenaline
  • may have harmful effects if its persistently high
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the metabolic action of cortisol

A

Increased energy production from glucose, amino acids and fats
Increased protein breakdown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the actions of cortisol

A
  • metabolic
  • enhances the actions of adrenaline (permissive effect)
  • anti-inflammatory actions
  • immunosuppression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are glucocorticoids actions on the immune response

A
  • anti inflammatory and immunosuppressant actions
  • they can inhibit the release of prostaglandins and leukotrienes
  • inhibit macrophages and helper T lymphocytes
17
Q

What can corticosteroid therapy be used for

A

They can be used as anti-inflammatory drugs, for arthritis ect

18
Q

Describe the action of a corticosteroid drug

A

The drug will suppress CRH and ACTH release and the natural response is suppressed

Such individuals are at risk during surgical procedures, including dental extractions

19
Q

Describe the negative feedback control of cortisol

A

Can act on the anterior pituitary gland to inhibit secretion of ACTH

Can act on the hypothalamus to inhibit secretion of CRH

20
Q

What is stress analgesia

A

Pain is diminished during physical stress

Due to release of endogenous opioid peptides, endorphins, enkephalins in the CNS

These suppress nociception and pain

21
Q

What can contribute to the stress of patients in a dental setting

A
  • anticipation of treatment
  • noise of drills
  • masks and gowns
  • pain increases stress
22
Q

Size of stress induced effects

A

Systolic BP - +5-20mmHg
Diastolic BP - + 4-8mmHg
Heart rate - up to +2

23
Q

Effects of stress in dentists is greater when…

A
  • standing
  • complex/difficult procedure
  • with anxious patients
  • when supervising a students first extraction
24
Q

Describe what happens if there is a failure to adapt to stress

A
  • adrenal failure
  • immunosuppression
  • pelvic ulcers
  • CVS disease