19 Questions
What tests should be used to screen patients with severe liver disease for bleeding disorders?
Platelet count, prothrombin time, partial thromboplastin time, and bleeding time
In patients with severe hypertension, what is the recommended systolic blood pressure cutoff for deferring elective dental treatment?
>200 mm Hg
What is the management approach for insulin-dependent (Type 1) diabetes mellitus before surgery?
Consult the patient's physician and defer surgery until diabetes is well controlled
What should be done if a patient with diabetes must not eat or drink before oral surgery?
Instruct the patient to avoid taking the usual dose of regular or NPH insulin
What is the recommended action for managing patients with adrenal insufficiency during oral surgery?
Maintain verbal contact with the patient during surgery
In patients with hyperthyroidism undergoing surgery, what should be monitored before, during, and after the procedure?
Pulse, respiration, and blood pressure
What is the main consideration regarding the management of ethanolism in relation to dental care?
Avoid situations where the patient might swallow large amounts of blood
What is the recommended approach for patients with a seizure disorder undergoing surgery?
Minimize stress and anxiety preoperatively
'Defer elective dental treatment until hypertension is better controlled' is a management recommendation for:
'Severe Hypertension'
What is the best means of limiting patient anxiety for respiratory patients during oral surgery?
Profound local anesthesia
Which medication should be readily available as an emergency drug for respiratory patients during oral surgery?
Nitroglycerin
What is the main prophylactic measure to consider for patients with adrenal insufficiency before oral surgery?
Corticosteroid replacement therapy
For patients with respiratory conditions, which type of medication should be avoided to limit anxiety during oral surgery?
Bronchodilators
Which approach is recommended to reduce anxiety in COPD patients before oral surgery?
Providing bronchodilators on the day of surgery
What is the main consideration for managing respiratory patients with COPD during oral surgery?
Avoiding excessive epinephrine administration
Which medication should be avoided in COPD patients to prevent exacerbation of their condition during oral surgery?
Corticosteroids
What is the recommended strategy for managing anxiety in respiratory patients before oral surgery?
Offering breathing exercises
What is the primary goal of anxiety reduction protocols for respiratory patients undergoing oral surgery?
Reducing respiratory distress
What is a common misconception regarding anxiety reduction approaches for respiratory patients during oral surgery?
Increasing epinephrine dosage decreases anxiety
Test your knowledge on extra measures to promote clot formation after surgery and management of neurologic problems like seizure disorder and ethanolism. Topics include restarting warfarin, deferring surgery for well-controlled seizures, and avoiding hypoglycemia and fatigue in patients.
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