By J.A. Hobkirk
An atlas of approximately three hundred color images overlaying a variety of phases within the building of whole dentures, recording fundamental and secondary impressions, jaw relationships, trial dentures, denture insertions and the overview appointment.
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Common symptoms are nausea, vomiting, tinnitus and deafness. Direct stimulation of the respiratory centre produces hyperventilation. Signs of serious salicylate poisoning include metabolic acidosis, renal failure and CNS effects such as agitation, confusion, coma and ﬁts. Death can occur as a consequence of CNS depression and cardiovascular collapse. Plasma salicylate concentration is most accurately measured >6 hrs after ingestion because of continued absorption of the drug. v. 4%) to normalise [H+].
5 CIRCULATORY EFFECTS OF COMMONLY USED VASOACTIVE DRUG INFUSIONS Drug (receptors) Cardiac contractility Heart rate BP Cardiac output Splanchnic blood ﬂow Dopamine (<5 μg/kg/min) (DA1,b1,a) (>5 μg/kg/min) (b1,a,DA1,b2) Adrenaline (epinephrine) (b1,a,b2) Noradrenaline (norepinephrine) (a,b1) Isoprenaline (b1,b2) Dobutamine (b1,b2,a) Dopexamine (b2,DA1,DA2) Glyceryl trinitrate (NO) ↑ ↑↑ ↑↑ →/↑ ↑ ↑ ↑ → →/↑ ↑ ↑ →/↓ ↑↑ ↑ ↑↑ ↑ →/↑ ↑ ↑↑ ↑↑ ↑ ↑↑ ↑↑↑ →/↓ ↑ ↑↑ ↑ ↑ →/↑ → ↓ →/↓ →/↑ → ↑ ↑ →/↓ →/↓ →/↓ ↓ SVR PVR →/↑ ↑ ↑ ↑↑ →/↑ ↑ ↑ ↑↑ ↓ ↓ ↓ ↓ →/↓ ↓ ↓ ↓ Receptors through which these vasoactive drugs work are given in parentheses and listed in order of the extent of receptor stimulation produced.
A toxic psychosis may occur with high levels of consumption, and tactile hallucinations (formication) may be prominent. Coronary artery spasm may result in myocardial ischaemia or infarction, even in patients with normal coronary arteries. All patients should be observed with ECG monitoring for ≥2 hrs. v. nitrates should be used to treat chest pain. • In fatal poisoning, the onset and progression of symptoms are accelerated and death may occur in minutes. ECSTASY/AMPHETAMINES MDMA (3,4-methylenedioxymethamphetamine, ecstasy) is a ‘designer’ amphetamine, also known as E, Adam, white dove, white burger, or red and black.
A Colour Atlas of Complete Dentures by J.A. Hobkirk