Category Archives: Preoperative Health Status Evaluation

Neurologic Disorders

Neurologic Disorder Seiznre  dis{orders. Patients with a history of seizures should be questioned about the frequency type, duriition, and sequelae of seizures. Seizures can be the result of ethanol withdrawal, high fever, hypoglycemia, or traumatic brain damage, or they can be idiopathic. The dentist should inquire about medications used to control the seizure disorder, particularly about patient compliance

preoperative health status

preoperative health status BOX 1-22 Management of Patient with a Coagulopathy 1. Defer surgery until a hematologist is consulted about the patient’s management. 2. Obtain baseline coagulation tests as indicated (prothrombin time, partial thromboplastin time, Ivy bleeding time, platelet count) and a hepatitis screen. 3. Schedule the patient in a manner that allows surgery soon after any coagulation-correcting

Hematologic Problems

Hematologic Problems Hereditary coagulopnthies. Patients with inherited bleeding disorders are usually aware of their problem, allowing the clinician to take the necessary precautions before any surgical procedure. However; in many patients, prolonged bleeding after the extraction of a tooth  maybe the first evidence that a bleeding disorder exists. Therefore all patients should be questioned concerning coa

Preoperative Health Status

Preoperative Health Status  BOX 1-20 Management of Patient with Adrenal Suppression.Who Requires Major Oral Surgery* If patient is currently on corticosteroids: 1. Use anxiety reduction protocol. 2. Monitor pulse and blood pressure before, during, and after surgery. 3. Instruct patient to double usual daily dose on the day before, day of, and day after surgery. . 4.0n second postsurgical day, advise the patient t

preoperative health status

preoperative health status BOX 1-19 Management of Patient with Diabetes Insulin-Dependent Diabetes 1. Defer surgery until diabetes is well controlled; consult physician. 2. Schedule an early morning appointment; avoid lengthy appointments. 3. Use anxiety reduction protocol, but avoid deep sedation techniques in outpatients. 4. Monitor pulse, respiration, and blood pressure before, during, and after surgery. 5. Mai

Principle of surgery

Principle of surgery TABLE 1-1  Types of Insulin  “Insulin sources are pork-F, I; beef-F, I, l; beef and pork=], I, l;and recombinant ~NA-F, 1/l. exists in any person with diabetes, consideration should be given to hospital admission to allow for acute control of the hyperglycemia and aggressive management of the infection. Many clinicians also believe that prophylactic antibiotics should be given routi

Principle of surgery

Principle of surgery People with insulin-dependent diabetes must strike a balance among caloric intake, exercise, and insulin dose. Any decrease in regular caloric intake or increase in activity, metabolic rate, or insulin dose can lead to hypoglycemia and vice versa. Patients with non-insulin-dependent diabetes usually produce insulin, but in insufficient amounts because of decreased insulin activity, insulin

Preoperative health status

Preoperative health status BOX 1-18 Management of Patient with Hepatic Insufficiency 1. Attempt to learn the cause of the liver problem; if the I cause  is hepatitis B, take usual precautions. 2. Avoid drugs requiring hepatic metabolism or excretion; if their use is necessary, modify dose. 3. Screen patients with severe liver disease for bleeding disorders with platelet count, prothrombin time, partial thrombopla

preoperative health status

preoperative health status BOX 1-17 Management of Hypertensive Patient Mild-to-Moderate Hypertension (Systolic >140; Diastolic >90) 1. Recommend that the patient seek the primary care physician’s guidance for medical therapy of hypertension. 2. Monitor the patient’s blood pressure at each visit and whenever administration of epinephrine-containing local anesthetic- surpasses 0.04 mg during a singl

Endocrine Disorders

Endocrine Disorders Diabetes mellitus. Diabetes mellitus is caused by an underproduction of insulin, a resistance of insulin receptors in end-organs to the effects of ins-ulin, or both. Diabetes commonly is divided into Insulin-dependent and non-insulin-dependent diabetes. Insulin-dependent diabetes usually begins during childhood or adolescence. The major problem in this form of diabetes is an underproduction