Anticoagulants Flashcards

1
Q
A
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2
Q

What does SDCEP stand for?

A

Scottish Dental Clinical Effectiveness Programme

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3
Q

True or False: Anticoagulants are used to prevent blood clot formation.

A

True

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4
Q

Name one common anticoagulant used in dental practice.

A

Warfarin

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5
Q

Fill in the blank: Antiplatelet drugs are primarily used to inhibit _______.

A

platelet aggregation

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6
Q

What is the main purpose of the SDCEP guidelines?

A

To provide evidence-based recommendations for the management of patients on anticoagulants and antiplatelets in dental settings.

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7
Q

Which anticoagulant requires regular INR monitoring?

A

Warfarin

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8
Q

True or False: Patients taking anticoagulants do not need any dental treatment adjustments.

A

False

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9
Q

What is the recommended action for patients on anticoagulants undergoing dental surgery?

A

Consult the patient’s medical history and consider multidisciplinary management.

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10
Q

Name one antiplatelet medication.

A

Aspirin

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11
Q

What is the risk associated with dental procedures for patients on anticoagulants?

A

Increased bleeding

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12
Q

True or False: Patients on direct oral anticoagulants (DOACs) require bridging therapy for dental procedures.

A

False

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13
Q

Which patients should be referred to a specialist before dental procedures?

A

Patients with complex medical histories or those on multiple anticoagulants.

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14
Q

What is the role of the dental practitioner when treating patients on anticoagulants?

A

To assess bleeding risk and manage accordingly.

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15
Q

Fill in the blank: The SDCEP guidelines emphasize a _______ approach to patient management.

A

patient-centered

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16
Q

What should be evaluated before performing invasive dental procedures on anticoagulated patients?

A

The patient’s bleeding risk and the indication for anticoagulation.

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17
Q

True or False: Patients taking antiplatelet medications require cessation before dental surgery.

A

False

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18
Q

What is the recommended management for patients on aspirin undergoing dental extraction?

A

Continue aspirin; consider local hemostatic measures.

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19
Q

Name a condition that may require anticoagulant therapy.

A

Atrial fibrillation

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20
Q

Which anticoagulant is commonly used in patients with mechanical heart valves?

A

Warfarin

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21
Q

Fill in the blank: The main function of anticoagulants is to _______ blood clotting.

A

reduce

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22
Q

What is the key consideration when treating patients on anticoagulants?

A

Balancing the risk of bleeding with the risk of thrombosis.

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23
Q

True or False: Local measures can help manage bleeding in patients on anticoagulants.

A

True

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24
Q

What should be done if a patient on anticoagulants experiences excessive bleeding?

A

Apply pressure and seek medical advice if necessary.

25
Name a common side effect of anticoagulant therapy.
Increased risk of bleeding
26
What does INR stand for?
International Normalized Ratio
27
Fill in the blank: The SDCEP guidelines recommend _______ communication with the patient's GP.
effective
28
True or False: Patients on anticoagulants should be informed about the signs of bleeding.
True
29
What is the purpose of antiplatelet therapy in cardiovascular disease?
To prevent thrombotic events such as heart attacks and strokes.
30
Which dental procedure may pose a higher risk for patients on anticoagulants?
Tooth extraction
31
What is the first step in managing a patient on anticoagulants in a dental setting?
Obtain a thorough medical history.
32
Fill in the blank: The SDCEP guidelines advise a _______ approach to managing anticoagulated patients.
multidisciplinary
33
Which anticoagulant does not require routine monitoring?
Direct oral anticoagulants (DOACs)
34
True or False: Anticoagulants can be safely stopped prior to dental surgery without consultation.
False
35
What should dentists do if they are unsure about managing a patient on anticoagulants?
Consult the SDCEP guidelines or seek advice from a medical professional.
36
What is the primary concern for dentists when treating patients on anticoagulants?
Managing the risk of bleeding during and after procedures.
37
Name a direct oral anticoagulant.
Dabigatran
38
Fill in the blank: Patients on anticoagulant therapy should have their treatment _______ before dental procedures.
reviewed
39
What should be documented in the patient's notes regarding anticoagulant therapy?
The type of anticoagulant, dosage, and any specific management plans.
40
True or False: All patients on anticoagulants require a change in their medication before dental treatment.
False
41
What is the significance of the patient's INR level?
It indicates the level of anticoagulation and bleeding risk.
42
Fill in the blank: The SDCEP guidelines emphasize the importance of _______ in patient management.
communication
43
What should be done if a patient's INR is above the therapeutic range?
Consider delaying elective dental treatment and consult the patient's physician.
44
True or False: Patients on antiplatelet therapy are at higher risk of bleeding than those not on such therapy.
True
45
What is the recommended approach for managing patients on dual antiplatelet therapy?
Consult with the patient's physician and assess bleeding risk.
46
Fill in the blank: The SDCEP guidelines provide _______ for the management of patients on anticoagulants.
evidence-based recommendations
47
What is an important factor to consider for patients on warfarin?
Their dietary vitamin K intake.
48
True or False: Antiplatelet therapy can be safely interrupted for dental surgery in all cases.
False
49
What should be communicated to patients regarding their anticoagulant therapy before dental procedures?
The potential risks and benefits of continuing or stopping their medication.
50
Fill in the blank: The management of anticoagulated patients should be ______ and based on individual patient needs.
personalized
51
What is a common reason for a patient to be on antiplatelet therapy?
Previous myocardial infarction or stroke.
52
What is the role of local hemostatic measures in dental procedures?
To control bleeding in patients on anticoagulants.
53
True or False: All patients on anticoagulants will experience complications during dental treatment.
False
54
What must be considered when planning dental procedures for anticoagulated patients?
The invasiveness of the procedure and the patient's bleeding risk.
55
Fill in the blank: The SDCEP guidelines are regularly _______ to reflect new evidence.
updated
56
What is the significance of patient education regarding anticoagulant therapy?
It helps patients understand their treatment and the importance of adherence.
57
True or False: Dentists have the authority to change anticoagulant therapy without consulting a physician.
False
58
What should be done in the event of a medical emergency involving a patient on anticoagulants?
Follow emergency protocols and contact emergency services if needed.
59
Fill in the blank: The SDCEP guidelines aim to improve _______ in dental practice.
patient safety