substance abuse Flashcards
1
Q
alcohol substance abuse signs
A
- erosion
- GORD
- hepatic failure
- need to use amid anaesthetics (not in liver, ise pseudocholinesterase), poor clotting and drug metabolism
- avoid aspirin, azoles and cepahlosporins
- 35x more likely to get oral cancer with synergistically taking with smoking
2
Q
smoking substance abuse signs
A
- dry socket
- xerostomia
- smokers melanosis
- smokers keratosis (nicontic stomatitis)
- peridondal masking
- whartin’s tumour (8x more likely)
- need higher dose of
- sedatives
- post-op analgesia
3
Q
heroin/methadone substance abuse signs
A
opiod family
methadone is rehab for heroin abuse
- methadone - high sugar contect - caries
- heroin - thrombocytopenia
- carbamazepine - dec effect of methadone
- heroin - poorer sedative effect
- heroin hard to find vessel for IV sedation
- delayed gastric emptying with opiods
4
Q
cocain substance abuse signs
A
- vasoconstrictive effect can cause palatl communication
- loss of nasal septum
- loss of gingivae if rubbed topically
- thrombocytopenia
- inc systemic effect of adrenaline
- seizure risk with GA
5
Q
solvent abuse signs
A
- circumoral erythema (glue sniffers rask)
- status epileptus
- reduced half life of LA as it dulls down adrenaline
6
Q
anabolic steroids substance abuse signs
A
aggresive pts (roid rage)
inc carb consumption = caries
poorer clotting
7
Q
amphetamines/ectasy substance abuse signs
A
xerostomia
TMD
thromobocytopenia
8
Q
hallucinogens (LSD) substance abuse signs
A
bruxism
TMD
risk of trauma (impaired judgement)
resp depression
panic attacks/flashbacks
