زائر
Denta Dgs f Pegnant and
Nsing Patients
nsideatins
Denta teatment f pegnant patients
Pesibing f tw
ss paenta
Exetin int beast mik
Metabism by fets and nenate
iabiity
nsideatins
ssing paenta
Exetin in beast mik
Appx 1% pasma n
Passive diffsin
Fats:
w mea weight
Highy n-inized
w ptein binding
Highy ipphii
Phamagy
Metabism by fets and nenate
Immate ive w hepati
gnidatin
Immate kidney w eiminatin
Amatin f metabites
nge haf-ives
Pegnany
Fist timeste
2nd t 8th week gangenesis
Teatgenesis
Spntanes abtin – 1 in 5 pegnanies
Send timeste
Thid timeste
FDA
assifiatin System
A: nted stdies shw N isk t fets
B: N evidene f isk in hmans
eithe N isk seen fm anima stdies, hman 1st
timeste stdies K afte advese anima stdies
: isk annt be ed t
eithe anima stdies shw isk with n sbseqent
hman stdies, n anima hman stdies avai
D: Psitive evidene f isk
evidene hman isk, bt benefit > isk
X: ntaindiated in pegnany
evidene hman isk, isk >> benefit
Denta Dgs
a anesthetis
Antibitis
Anagesis
Sedatives
a Anesthetis
Pegnany
Safe
ass B – idaine,
etidaine, piaine
ass –
mepivaaine,
bpiviaine
Epinephine
Peeampsia?,
teine bd fw?
Safe, benefit >> isk
Nsing
Safe
idaine shwn t
be mpatibe
Antibitis
Pegnany
Safe: peniiins,
ephaspins,
maides
Wath: E-myin
estate, sfa,
metnidaze
D nt se:
tetayine,
dxyyine
Nsing
Safe: amst a
Wath:
metnidaze
D nt se: ??
dxyyine,
ketnaze,
fnze
Anagesis
Pegnany
Safe: Aetaminphen
NSAIDs
Avid in 3d timeste
ASA
PDA se,
pnged pegnany,
inhibit ab,
ab hemhage
Natis
Avid deine?
xydne
Nsing
ASA?
?isk f eye’s syndme
Natis
exetin:
xydne, mepeidine
«exetin (bette):
deine, mphine
Timing
Sedatives
Pegnany
Benzdiazepines
Sht vs ng-tem
Ty t avid, esp nea
tem
Feta NS depessin,
“fppy baby syndme”
Nsing
Sht vs. ng-tem
Timing
Beast pmp
Nse immediatey pi
Wait 1-2 haf-ives afte
hse agents with
shte haf-ives
Benzdiazepines
piates
منقول من الانتر نت
Nsing Patients
nsideatins
Denta teatment f pegnant patients
Pesibing f tw
ss paenta
Exetin int beast mik
Metabism by fets and nenate
iabiity
nsideatins
ssing paenta
Exetin in beast mik
Appx 1% pasma n
Passive diffsin
Fats:
w mea weight
Highy n-inized
w ptein binding
Highy ipphii
Phamagy
Metabism by fets and nenate
Immate ive w hepati
gnidatin
Immate kidney w eiminatin
Amatin f metabites
nge haf-ives
Pegnany
Fist timeste
2nd t 8th week gangenesis
Teatgenesis
Spntanes abtin – 1 in 5 pegnanies
Send timeste
Thid timeste
FDA
assifiatin System
A: nted stdies shw N isk t fets
B: N evidene f isk in hmans
eithe N isk seen fm anima stdies, hman 1st
timeste stdies K afte advese anima stdies
: isk annt be ed t
eithe anima stdies shw isk with n sbseqent
hman stdies, n anima hman stdies avai
D: Psitive evidene f isk
evidene hman isk, bt benefit > isk
X: ntaindiated in pegnany
evidene hman isk, isk >> benefit
Denta Dgs
a anesthetis
Antibitis
Anagesis
Sedatives
a Anesthetis
Pegnany
Safe
ass B – idaine,
etidaine, piaine
ass –
mepivaaine,
bpiviaine
Epinephine
Peeampsia?,
teine bd fw?
Safe, benefit >> isk
Nsing
Safe
idaine shwn t
be mpatibe
Antibitis
Pegnany
Safe: peniiins,
ephaspins,
maides
Wath: E-myin
estate, sfa,
metnidaze
D nt se:
tetayine,
dxyyine
Nsing
Safe: amst a
Wath:
metnidaze
D nt se: ??
dxyyine,
ketnaze,
fnze
Anagesis
Pegnany
Safe: Aetaminphen
NSAIDs
Avid in 3d timeste
ASA
PDA se,
pnged pegnany,
inhibit ab,
ab hemhage
Natis
Avid deine?
xydne
Nsing
ASA?
?isk f eye’s syndme
Natis
exetin:
xydne, mepeidine
«exetin (bette):
deine, mphine
Timing
Sedatives
Pegnany
Benzdiazepines
Sht vs ng-tem
Ty t avid, esp nea
tem
Feta NS depessin,
“fppy baby syndme”
Nsing
Sht vs. ng-tem
Timing
Beast pmp
Nse immediatey pi
Wait 1-2 haf-ives afte
hse agents with
shte haf-ives
Benzdiazepines
piates
منقول من الانتر نت
