Dental aspects of renal disease

Question 1

What are some important points to take during a history of someone with CKD?

Answer 1

Diabetes history
Dialysis type and frequency, arteio-venous fistula?
Medication
Any bone related disorders?
Anemia?
Transplant?

Question 2

What is an arterio-venous fistula?

Answer 2

An abnormal connection between an artery and vein- may be surgically created for haemodialysis

Question 3

When should you get a Renal patient in for an appt?

Answer 3

Early in the morning the day after dialysis so the heparin will have worn off yet optimum kidney function.

Question 4

Why are patients more susceptible to oral disease?

Answer 4

Because they have reduced resistance to infection

Question 5

What should you avoid if the pt has a tendency to bleed severly?

Answer 5

Regional blocks

Question 6

At what measure of haemoglobin contraindicates GA?

Answer 6

<10g/dl

Question 7

What might become toxic in a renally impaired patient?

Answer 7

If the drugs fail to excrete or metabolise properly

Question 8

What drugs should be reduced in the presence of CKD?

Answer 8

Aciclovir
Amoxicillin
Erythromycin

Question 9

What should never be prescribed with renal disease?

Answer 9

NSAIDS

Question 10

What might be some oral side effects to renal disease?

Answer 10

Loss of lamina dura
Osteoporosis
Saliva gland swelling

Question 11

What are typical medications for a renal patient to be on?

Answer 11

Anti hypertensives
Anti coagulants
Immunosuppressives