Clinton McGarvey Pat. Ass. Extra Credit Advair S: [WHY PATIENT IS TAKING].

Fluticasone propionate and salmeterol xinafoate. Beta-2 adrenergic agonist and also a corticosteroid inhalant. No information is available on effects on local anesthetics/ vasoconstriction. Localized infections with Candida albicans or Aspergillus niger have occurred frequently in the mouth and pharynx with repetitive use of oral inhaler of corticosteroids. No information available on effects on bleeding. May cause arrhythmias, syncope, and tachycardia. [ANYTHING ELSE PATIENT STATES ABOUT MEDICATION]. O:[ANY SIDE EFFECTS MENTIONED ABOVE] A: Patient may be at increased risk for infections by C. albicans and/or A. niger, tachycardia, syncope, and arrhythmias. P: Take vitals at every appointment. OHI to reduce chances of fungal infections. Coumadin/ Warfarin S: [WHY PATIENT IS TAKING]. Warfarin sodium. Anticoagulant and vitamin K antagonist. No information is available on effects on local anesthetics/ vasoconstriction. May cause mouth ulcers and altered taste perception. May cause excessive bleeding. Adverse side effects include hemorrhage, hypotension, hemorrhagic shock, syncope, and dyspnea. [ANYTHING ELSE PATIENT STATES ABOUT MEDICATION]. O: [ANY SIDE EFFECTS MENTIONED ABOVE] [Excessive gingival bleeding may be sign of warfarin overdose]. A: Patient at increased risk for mouth ulcers, hemorrhage, hypotension, syncope, and dyspnea. P: Take vital signs at every appointment. Use local vasoconstriction agents like retraction cords. Consult with physician prior to surgery to determine temporary dose reduction or withdrawal of medication. Dilantin/ Phenytoin S: [WHY PATIENT IS TAKING]. Anticonvulsant. No information is available on effects on local anesthetics/ vasoconstriction. May cause gingival hyperplasia during first 6 months of use. No information available on effects on bleeding. May cause hypotension, bradycardia, cardiac arrhythmia, or cardiovascular collapse. O: [ANY SIDE EFFECTS MENTIONED ABOVE]

Vasoconstrictors need to be administered with caution in patients taking antidepressants that affect norepinephrine in this way. . Ibuprofen/ Advil S: [WHY PATIENT IS TAKING]. P: Take vitals at each appointment. P: Consult with physician before any extensive oral surgeries/ invasive procedures. Serotonin/ Norepi reuptake inhibitor. begin a program of professional cleaning and patient plaque control within 10 days of starting anticonvulsant therapy to help minimize gingival hyperplasia.A: Patient at increased risk for gingival hyperplasia. May interfere with aspirin’s cardiovascular benefits (stroke prevention). O: [ANY SIDE EFFECTS MENTIONED ABOVE] A: Patient is at risk for xerostomia and increased bleeding. hypotension. May cause excessive bleeding. or stroke if patient has had a previous stroke]. May impair platelet aggregation and increased bleeding. Antidepressant. or cardiovascular collapse. May cause xerostomia and changes in normal salivation. Non-steroidal anti-inflammatory agent. If just started medication. Cymbalta/ Duloxetine S: [WHY PATIENT IS TAKING]. P: Take vitals at all appointments. Use adequate local vasoconstriction agents (like retraction cords). O: [ANY SIDE EFFECTS MENTIONED ABOVE] A: Patient is at risk for increased bleeding [and may be at risk for apnea. Consult with physician before any major surgeries. Adverse side effects include apnea and respiratory failure. bradycardia. No information is available on effects on local anesthetics/ vasoconstriction. Give vasoconstrictors with extreme caution. cardiac arrthymia. Take vital signs at all appointments. respiratory failure.