Category Archives: Preoperative Health Status Evaluation

preoperative health status

preoperative health status Management of Patient with Renal Transplant 1. Defer treatment until primary care physician or trans- . plant surgeon clears patient for dental care. 2. Avoid use of nephrotoxic druqs.! 3. Consider use of supplemental corticosteroids. 4. Monitor blood pressure. 5. Consider hepatitis B screening before dental care. Take hepatitis precautions if unable to screen for hepatitis. 6. Watch for

Hepatic Disorders

Hepatic Disorders Impaired Liver [unction. The patient with severe liver damage resulting from infectious disease, ethanol abuse, or vascular or biliary congestion requires special consideration before oral surgery is performed. An alteration of dose or avoidance of drugs that require hepatic metabolism maybe necessary. The production of vitamin K-dependent coagulation factors (II, VII, IX, X) may be depresse

Preoperative health status

Preoperative health status Care of the hvpertensive patient includes use of an anxietv reduction protocol and monitoring of vital signs. Epinephrinc-containing local anesthetics should be used cautiously; after surgery patients should be advised to seek medical care for their hypertension. Elective oral surgery for patients with severe hypertension (i.e., systolic pressure of 200 or more or diastolic pressure

Principle of surgery

Principle of surgery BOX 1-15 Management of Patient with Renal Insufficiency and Patient Receiving Hemodialysis 1. Avoid the use of drugs that depend on renal metabolism or excretion. Mo.difythe dose if such drugs are – necessary. . 2. Avoid’the .use of nephrotoxic drugs, such as nonsteroidal antiinflammatory drugs . 3. Defer dental care until the day after dialysis has been given. 4. Consult physician

Principle of surgery

Principle of surgery  Drugs that depend on renal metabolism or excretion should be avoided or used in modified doses to prevent systemic toxicity. Drugs removed during dialysis will also need special dosing regimens. Relatively nephrotoxic drugs, such as NSAIDs, should also be avoided in patients with seriously compromised kidneys. Because of the higher incidence at hepatitis in renal dialysis patients, denti

Principle of surgery

Principle of surgery BOX 1-14 Management of Patient with Chronic Obstructive Pulmonary Disease (COPD) 1. Defer treatment until lung function has improved’ and treatment is possible. ,2. Listen to chest bilaterally with stethoscope to determine adequacy of breath sounds’. 3. Use.anxiety reduction protocol, but avoid use of res- , piratory depressants. 4. If patient is on chronic oxygen suppLementation,

Renal Problems

Renal Problems Renal dialysis, Patients requiring periodic renal dialysis need special consideration during oral surgical care. Chronic dialysis treatment typically.   requires the presence of an arteriovenous shunt (i.e., a large, surgically created junction between an artery and v~, which allows easy vascular access and heparin administration, allowing blood to move through the dialysis equipment without 

Principle of surgery

Principle of surgery  When managing ‘patients with COPD who are receiving corticosteroids are treated, the dentist should consider the me of additional supplementation before major surgery. Sedatives, hypnotics, and narcotics that depress respiration should be avoided. Patients may need to be kept in an upright sitting position in the dental chair to enable them to better handle their commonly copious 

preoperative health status

preoperative health status BOX 1-13 Management of Asthmatic Patient 1. Defer dental-treatment until asthma is well controiled . and .patient has no signs of. a respiratory tract infection. . 2. Listen to chest with stethoscopeto detect wheezing before major oral surgical procedures orsedation. 3. Use .anxiety reduction protocol, including nitrous” ” . oxide; but avoid use of respiratory depressants. , 4

Pulmonary Problems

Pulmonary Problems Asthma. When a patient relates a history ‘of asthma, the dentist should first determine through further questioning whether the patient truly has asthma or has a respiratory problem such as allergic rhinitis that carries less significance for dental care, True asthma involves the episodic narrowing of small airways. which produces wheezing and dyspnea as a result of chemical, infectio