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The ADA practical guide to substance use disorders and safe prescribing /
"This is in addition to a variety of legal regulations dentists must follow regarding the storage and record keeping of controlled substances"--Provided by publisher
| Clasificación: | Libro Electrónico |
|---|---|
| Otros Autores: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Hoboken, New Jersey :
Wiley Blackwell,
[2015]
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| Colección: | Practical guide series (American Dental Association)
|
| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- The ADA Practical Guide to Substance Use Disorders and Safe Prescribing
- Contents
- Contributors
- Preface
- Acknowledgments
- 1 Substance Use Disorders, Drug Diversion, and Pain Management: The Scope of the Problem
- Introduction
- Definitions
- Acute Pain
- Addiction
- Chronic Pain
- Drug Diversion
- Drug Misuse
- Opiates and Opioids
- Prescriber-Patient Mismatch
- Substance Abuse
- Substance Dependence
- Substance Use Disorders
- Substance Use Disorder, Drug Misuse, Drug Diversion, and Pain Management in the Dental Community
- Substance Use Disorder
- Medication Misuse
- Alcoholism
- Drug Diversion
- Pain Management in Dentistry
- Understanding the Cultures of Substance Use Disorder, Drug Misuse, and Drug Diversion
- The Sharing Culture
- The Income-driven Culture
- The Substance Abuse Culture
- The Addiction Culture
- Combinations of Cultures
- Summary
- References
- 2 Understanding the Disease of Substance Use Disorders
- Introduction
- Definitions
- Addiction
- Ambivalence
- Cross-addiction
- Medication-assisted Therapy
- Medical Model
- Psychological Therapy or Psychotherapy
- Tolerance
- Transtheoretical Model of Change
- Withdrawal
- Epidemiology: Drug/Alcohol
- Age and Gender
- Treatment
- Pathophysiology/Brain Pathways
- Signs, Symptoms, Behavior
- Alcohol
- Benzodiazepines
- Opioids
- Stimulants
- Cannabis
- Nicotine
- Hallucinogens, Designer Drugs, Inhalants
- Treatment Methods
- Behavioral Modifications and Counseling
- Medications for Substance Use Disorder
- Alcohol
- Benzodiazepines
- Opioids
- Stimulants, Hallucinogens, Cannabis, Inhalants
- Tobacco
- Summary
- Appendix 2.A: Common Opioid Analgesics and their Brand Names
- References
- Resources and Further Readings
- 3 Principles of Pain Management in Dentistry
- Introduction
- Definitions.
- Neuropathic Pain
- Nociceptive Pain
- Neurophysiology and Neuroanatomy of Acute Inflammatory Pain
- Orally Administered Analgesic Agents
- Nonopioid Analgesics
- Adverse Drug Reactions and Toxicities of Nonopioid Analgesics
- Opioid Analgesics
- Side Effects of and Drug Interactions Associated with Opioid Analgesics
- Medication-Assisted Therapies for Treating Drug-Dependent Patients
- Adjunctive Drugs Used to Limit Pain in Dentistry
- Long-Acting Local Anesthetics
- Preemptive Analgesics
- Corticosteroids
- Guidelines for Analgesic Therapy
- Summary
- References
- Resources and Further Readings
- 4 Special Pain Management Considerations: (1) Chronic Methadone, Buprenorphine, and Naltrexone Therapy
- (2) Chronic Opioids for Nonmalignant Pain
- Introduction
- Definitions
- Opioid Maintenance Therapy
- Pseudo-addiction
- Hyperalgesia
- Cross-tolerance
- Interviewing the Patient: Establishing Goals of Treatment
- Pharmacological Treatment of Opioid Addiction
- Goals of Treatment
- Pharmacological Considerations of Methadone and Buprenorphine
- Treating Acute Dental Pain
- Acute Pain in Patients Receiving Opioid Maintenance Therapy
- Methadone and Buprenorphine
- The Active Opioid Addict
- Acute Pain Management in Patients Receiving Naltrexone Therapy
- Acute Pain Management in Patients Receiving Opioids for Chronic Pain
- Summary
- References
- 5 Sedation and Anxiolysis
- Introduction
- Definitions
- Spectrum of Anesthesia and Sedation
- Rescue
- Preoperative Evaluation
- Physical Status Classification
- Sedation
- Medications Available for Sedation of Patients with Substance Use Disorder
- Nitrous Oxide-Oxygen Sedation
- The Benzodiazepines
- Opioids
- Chronic Pain or Opioid-Based Maintenance Programs
- Ketamine
- Propofol
- Antihistamines
- Alpha Agonists.
- Inhalation Anesthetics and Neuromuscular Blocking Drugs
- Inhalation Agents
- Local Anesthetics
- The Concept of Balanced Anesthesia
- Monitoring and Documentation
- Emergencies
- Special Considerations
- Summary
- Disclaimer
- References
- Resources and Further Readings
- 6 Common Substances and Medications of Abuse
- Introduction
- Definitions
- Drug Misuse
- Opiates and Opioids
- Prescription Drug Abuse
- Substance Abuse
- Substance Use Disorder
- Tolerance
- Visual Analog Pain Scale
- Signs and Symptoms of Substance Use Disorder
- Common Substances of Abuse
- Stimulants
- Hallucinogens
- Opioids: Heroin and Opium
- Inhalants
- Central Nervous System Depressants
- Marijuana and Other -9-Tetrahydrocannabinol Derivatives
- Prescription Medications
- Opioids
- Stimulants: Methylphenidate and Amphetamine/Dextroamphetamine (Schedule II)
- Central Nervous System Depressants
- Barbiturates
- Antipsychotics
- Muscle Relaxants
- Anticonvulsants
- Other Agents
- Over-the-Counter Medications
- Dextromethorphan
- Antihistamines
- Pseudoephedrine
- Summary
- References
- Resources and Further Readings
- 7 Tobacco Cessation: Behavioral and Pharmacological Considerations
- Introduction
- Definitions
- Cognitive Coping
- Behavioral Coping
- Nicotine Replacement Therapy
- Spit Products
- Forms of Tobacco
- Oral Effects of Tobacco Use
- Dental Practitioner Management of Tobacco Use
- Brief Intervention: Ask-Advise-Refer
- Low Intensity: Motivate-Educate-Refer
- Moderate Intensity: Create a Plan
- Spit Tobacco Interventions
- Gradual Reduction
- Oral Substitutes
- Social Support/Disapproval
- Medication Management for Smoking Cessation
- The Role of Nicotine
- Pharmacotherapy Options
- First-Line Agents
- Second-Line Agents
- Other Non-FDA-Approved Smoking-Cessation Therapies
- Summary.
- Prescription
- Practitioner
- Dispense
- Readily Retrievable
- Due Diligence
- Common Violations by Dental Practitioners
- Scope of Practice
- Record Keeping
- Storage of Controlled Substances
- Disposal of Controlled Substances
- Documentation
- Surviving a Drug Enforcement Administration Inspection
- Practice Due Diligence Program
- Management of Noncontrolled Substances in the Office
- Summary
- Resources and Further Readings
- 11 Addiction and Impairment in the Dental Professional
- Introduction
- Definitions
- Addiction
- Impairment
- Denial
- The Complexity of Addiction
- The Neurobiology of Addiction
- The Stigma of Addiction
- Epidemiology of Addiction in Dentistry
- Risk Factors for Substance Use Disorder
- Family History of Substance Use Disorder
- Stress
- Other Risk Factors
- Substances of Choice
- Identifying Addiction
- "The Conspiracy of Silence"
- Intervention
- Goals of Intervention
- Evaluation/Assessment
- Treatment
- Family and Staff
- Relapse
- Monitoring
- Peer Assistance or Dental Well-being Committee Programs
- Addiction Support Programs and Information
- Self-report Programs
- Consent or Mandated Programs
- Contractual Agreements with Peer Assistance or Well-being Committee Contracts
- Summary
- References
- Resources and Further Readings
- 12 Due Diligence and Safe Prescribing
- Introduction
- Definitions
- Due Diligence
- Relapse
- Prescriber-Patient Analgesic Mismatch
- Case Scenarios
- Recognition of Diversion Behaviors
- Ethics and Analgesia
- Alcohol and Benzodiazepines
- Opioid Maintenance Treatment and Acute Analgesia
- Stimulants and Tooth Pain
- Acute "on" Chronic Pain Management
- Alcoholism with Liver Disease
- Controlled-Substance Prescribing Regulations
- Impaired Professional
- Summary
- References
- Continuing Education Examination
- Index.