2. Five years later she undergoes 3rd molar tooth extraction. You consider anon-steroidal anti-inflammatory drug would be the most appropriate drugtherapy for her pain.(i) What questions would you ask her before you prescribed a non-steroidal anti-inflammatory drug?(ii) What drug and dosing regimen would you recommend?(iii) What advice would you give the patient with respect to monitoringthe efficacy of the drug and its adverse effects?(iv) Consider the above questions and your answers if she were aged78 years.3. Twenty years later, she requires oral surgery for removal of a lesion in hermandible. You consider that the pain resulting from this would bemoderate to severe and of a chronic nature. The medicines which you canprescribe for acute pain are [look up AMH for these brand products:]Panadeine Forte® tablets, MS Contin® or Kapanol® tablets/capsules,Ordine® solution, Endone® tablets, Tramal® Capsules 50 mg, Palexia® IR50 mg. Check PBS prescribing by Dental Practitioners.[https://www.pbs.gov.au/pbs/home](i) Which drug and dosing regimen would you recommend?(ii) What questions might you ask the patient before you decided ontreating her?(iii) What advice (counselling) would you give the patient regarding themedication?2You should frame your answer in terms of the mechanism of action of thedrugs, their contraindications, adverse effects, pharmacokinetics and druginteractions.• You prescribe twenty 5 mg oxycodone tablets (S8). How does thisprescription differ from a usual S4 prescription?• Five days later she rings your surgery asking for a repeat prescription.What do you do?• What do you do if• a) the patient is already taking Oxycontin® 20 mg Controlledrelease tablets [1 tablet twice a day] for cancer pain];• b) is on methadone maintenance therapy (40 mg once a day) foropioid dependence.

A 22-year old female presents with pain and inflammation due topericoronitis around a partially erupted lower 3rd molar tooth. Her dentalpractitioner prescribes paracetamol 500 mg to be taken as required.(i) What is the dental approach to treat pericoronitis?(ii) Give your reason(s), with specific reference to the mechanism ofdrug action, why you consider the drug and dosing regimen tobe appropriate or inappropriate?(iii) What drug therapy would you initiate if you consider the above isinappropriate?

Question 8 (5 points) How should a sublingual medication be administered to a patient? Question 8 options: By placing it under the tongue and allowing saliva to dissolve it By applying a medicated patch to the upper arm or underarm By placing it against the cheek of the patient to be absorbed By means of a spray, mist, or gas that can be inhaled through a device Question 9 (5 points) Before taking a dose of a strong drug, the patient mentions that it has been quite a while since she last ate. Why is this important to know? Question 9 options: The rate at which the drug will be excreted increases substantially. The rate of absorption will be significantly reduced to the point where the medicine may have little or no effect. The rate of absorption increases, as well as the likelihood of irritation. There is a much greater risk of an allergic reaction to the medicine. Question 10 (5 points) If a drug has explicit instructions that it be administered "parenterally," how should it be consumed by the patient? Question 10 options: By injection By inserting it through the rectum By rubbing it through the skin By swallowing it Question 11 (5 points) If someone tells you that a particular drug is "OTC," what does this mean about the drug? Question 11 options: The FDA doesn't have any restrictions on the use of the drug. The drug is experimental and hasn't yet been approved by the FDA. The drug is particularly dangerous and subject to overuse or abuse. The drug is highly controlled and requires a prescription to be bought.

A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include?A. "Rinse your mouth with hydrogen peroxide."B. "Brush your teeth for 60econds twice daily."C. "Wear your dentures only during meals."D. "Floss your teeth gently following each meal."

Mrs Giles remains confused and you notice that she is increasingly agitated, unsettled and appears to be in pain.      a. What would be an appropriate pain assessment tool for Mrs Giles?      b. If the pain score is moderate, what are two (2) non-pharmacological nursing interventions that you could implement to manage her pain

Case Study #3: Chapter 9A 35-year-old female patient has come to the office to have an amalgam placed in tooth number 20. Once seated in the dental chair, the patient begins to talk rapidly and clutches the arms of the chair. She admits no fear of the dental procedure but appears to be very nervous and then begins to breathe rapidly and complains of tightness in the chest and a feeling of suffocation. She is hyperventilating.Questions7. Describe the management protocol for this patient.8. How could the dental auxiliary prevent this situation from occurring on the patient’s next visit?9. Why should oxygen not be administered in this situation?