Student.Handout.HEENT (2)

3 yes he should immediately begin applying docosanol

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3. Yes. He should immediately begin applying docosanol 10% to the area now 5 times daily. 4. Yes. He should apply topical benzocaine 10% to reduce the severity of tingling sensations.
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93 Xerostomia “Dry mouth” Reduction in saliva production Affects 20% of the elderly population Complications Difficulty speaking, chewing, swallowing, and tasting Stomatitis, burning tongue, halitosis, dental caries, gingivitis, and malnutrition Photo adopted from: http://healthypro.org/symptoms-and-prevention-xerostomia-or-dry-mouth/
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94 Xerostomia Precipitating Factors Disease states Sjogren’s syndrome, diabetes mellitus, depression, Crohn’s disease Drug-induced Antihistamines, decongestants, diuretics, antidepressants, antipsychotics, sedatives Nonpharmacologic Alcohol, tobacco, caffeine, sialolithiasis, mouth- breathing
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95 Nonpharmacologic Treatment Discontinue offending agents or alter dosing schedules Drink ≥ 8 glasses of water per day Chew sugarless gum to promote salivation Maintain proper oral hygiene Limit high-sugar and acidic foods Avoid products that contain alcohol (ie: mouthwash)
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96 Artificial Saliva Products Replacement therapy, not a cure Chemically and physically mimics natural saliva but lacks protective properties Components Viscosity : Carboxymethylcellulose, glycerin Palatability : Mint or lemon flavoring with artificial sweeteners
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97 Artificial Saliva Products Biotene Oral Balance Dry Mouth Relief Moisturizing Gel / Spray ® Salivart Synthetic Saliva Spray ® No preservatives Photo adopted from: http://sale.dentist.net/products/biotene-oral-balance-dry-mouth Directions for use : Gels: Apply a ½ inch strip to the tongue and spread thoroughly in the mouth Use on an as needed basis, most effective when applied after meals and before bedtime
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98 98 Patient Case Patient Case LM is a 72 yo AAM who has LM is a 72 yo AAM who has been experiencing xerostomia been experiencing xerostomia for the past 2 months. It has for the past 2 months. It has recently started to cause him recently started to cause him oral discomfort and he has had oral discomfort and he has had difficultly swallowing his food difficultly swallowing his food and speaking. He comes to and speaking. He comes to you for advice on what you for advice on what products she should try. products she should try. Photo adopted from: http://fraudandtheelderly.blogspot.com/2011/04/african-american-elderly-abuse.html
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99 99 Your answer: 1. Oral Balance Artificial Saliva Gel ® : apply a 1 inch strip inside mouth every morning upon waking 2. Daily antiplaque mouthwash to improve oral hygiene 3. Oral Balance Artificial Saliva Gel ® : apply a ½ inch strip inside mouth after meals and before bedtime 4. Attempt to improve dry mouth with supportive measures first: suck on hard candies and ice throughout the day to increase salivation
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3 Yes He should immediately begin applying docosanol 10 to...

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