question #2 which should be included in tx plan:
A. no special consideration
B. prophylactic antibiotic
-
http://www.nsdental.org/media_uploads/pdf/37.pdf (page 4-6 has tables)
C. short appointment
-anxious patients
-with systemmic condition: DM, history of angina, MI, stroke, HF, COPD, epilepsy.. etc.
D. anxiolytic admin
-very anxious patients
-optional: to reduce anxiety that may trigger attack: patient with history of MI, angina, stroke, heart failure, asthma (stress induced), epilepsy.. etc
E. prophylactic nitroglycerin
-unstable angina
-MI: only if directed by physician
F. Avoid NSAID
-allergies
-on anticoagulant
-has defect in blood clotting
-peptic ulcer
-impaired kidney or liver
-asthmatic patients
G. Avoid opioid
-allergies
-significant respiratory disease
-current substance abuse
-pregnancy(unless benefits>risks)
H. avoid epi
-allergic to epi
-narrow angle glaucoma
-thyrotoxicosis
-hypertensives (max of 0.04mg)
-hyperthyroid
-shock
I. minimize epi
-hypertensives (max of 0.04mg)
-hyperthyroid
J. avoid local anes
-pateints needing gen anes.. patients with disabilities??
-NOT FAMILIAR.. KINDLY ADD..
K. adust current meds
L. stop current meds prior to appointment
M. delay routine tx
-unstable angina
-MI < 6 months
-pregnant esp 1st and 3rd semester
N. treat at end of day
-COPD patients
O. must tx in hospital
please feel free to correct or add on the answers.. thanks!!