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Fundamentals Exam 2
Terms in this set (46)
What is ADHA's protocol for smoking cessation?
What is Nancy's protocol for smoking cessation?
How long do smoking cravings generally last?
nicotine gum, lozenges, patches, oral spray
What are FDA approved OTC pharmacotherapy for smoking cessation?
nasal spray, inhaler, Zyban (bupropion), Chantix (Varenidine)
What are FDA approved Rx pharmacotherapy for smoking cessation?
T/F Natural quit aids such as herbals, hypnosis and acupuncture have had case control studies done to fully support their role in smoking cessation.
Vegetable glycerin (30%), propylene glycol (70%)
What are the two main ingredients in Vape that are dangerous when inhaled (okay to eat)
8x CO and 36x tar
How does smoking hookah compare to smoking 1 cig in terms of dangerous chemicals?
50-70% more cancer-containing substances, 1 joint= 5 cigs
How does smoking marijuana compare to smoking 1 cig in terms of dangerous chemicals?
False, they have a better outlook
T/F oropharyngeal cancers with HPV DNA have a worse outlook than those without
T/F nicotine is not a carcinogen
How much nicotine is there in a cig, snuff, and chew?
What group has the highest smoking rates?
If smoking uptake halves, the cumulative deaths would go from 520 mil to _____ (in 2020)
If smoking halves, the cumulative deaths would go from 520 mil to _____ (in 2020)
Occupational Safety and Health Admin; enforce laws to protect workers
What does OSHA stand for and do?
CDC, EPA, FDA
What three groups make recommendations but not laws?
pathogen> reservoir> mode of transmission> entry>host
What is the chain of infection?
Soap and water used if hands visibly dirty/contaminated with blood. If not visibly soiled, alcohol based hand rub should be used.
When should soap+water be used vs. alcohol based hand rub?
run for 30 seconds, depressurize, remove bottle/empty/rinse, leave on counter at angle, dry blue iodine cartridge
What should you do with the water bottle at the end of the day?
percutaneous (needle), permucosal (splash eye/mouth), cutaneous (non intact skin)
What are the 3 "exposures" as defined by OSHA?
4: 1st aid measures and 8: exposure control/person protection
What two sections of the SDS do we care about?
1. product identifier
2. signal word
4. hazard statement
5. precautionary statement
6. contact info
7. supplemental info
What is the OSHA hazard communication standard (HCS)?
explosives, flammable liquids, oxidizing liquids, compressed gases, corrosive to metals
What are the physical hazard pictograms on the GHS?
acute toxicity, skin corrosion, skin irritation, CMR, STOT, aspiration hazard
What are the health hazard pictograms on the GHS?
hazard to aqueous environment
What is the non-OSHA enforced hazard pictogram? hint: environment hazards
endogenous bacterial contamination
What is the most common cause of post-op infections?
number needed to treat
what is NNT? (we want this low..)
incidious onset, V. streptococci, <10% mortality, 80% of patients have predisposed heart disease
What are characteristics of SBE?
all procedures that involve manipulation of gingival tissue or periodical region of teeth or perforation of oral mucosa
2007 AHA guideline for prevention of infective endocarditis (invasive dental procedures)
Warfarin (Coumadin), dicumarol, heparin, aspirin, ITTP, Plavix
Common meds that increase bleeding during dental procedures
they can lead to osteonecrosis of the jaw and decreased bone healing
What effect might drugs for osteoporosis (bisphosphinates) have on the oral cavity?
What is the rescue inhaler a patient should have with at the appointment?
drug interactions with epinephrine may increase heart rate and cause xerostoma
What is a potential problem with CNS medications?
garlic, ginger, ginsing, gingco
What are the 4 G herbal supplements that can increase bleeding? (note: also vitamin E and fish oil)
treat in the second trimester with drugs category B
How might a pregnant lady get treated?
prosthetic heart valve, history of infective endocarditis, congenital heart disease, prostetic joint replacement (if less than 2 yrs or complications)
When might a patient require antibiotic coverage?
What is the normal and hypertensive BP?
Colgate Total and Crest Prohealth
2 big guys with ADA acceptance for plaque/gingivitis reduction
*pyrophosphates (sodium hexametaphosphate), Zn ions, triclosan
What are 3 tarter control agents? *bad one
2 desensitizing agents
No, no therapeutic effects and lower cleaning scores
Does baking soda work?
essential oils, melaleuca, green teas
What 3 ingredients are common in the natural/alternative category? (ps they work!)
In order to prove, additional 20% reduction in gingivitis scores (BOP) over brushing with Fl toothpaste 2x daily
What proves clinical significance?
What is best for caries risk/recession patients?
Why is smoking+hydrogen peroxide bad?
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