Dr.Patel-OrganTrans/Pulm

Question 1

What are the three most important DENTAL considerations for patients who have undergone an organ transplant?

Answer 1

1.Bleeding 2.infection 3.build up of drugs/toxic metabolites (liver/kidney)

Question 2

What are the two most common immunosuppressive drugs?

Answer 2

prednisone and cyclosporine

Question 3

What are these signs indicating? Infections (viral, bacterial, fungal), Delayed healing, Excessive bleeding, HTN

Answer 3

OVER-immunosuppression

Question 4

What are 7 oral signs of immunosuppression?

Answer 4

1.Mucositis 2.HSV 3.Apthous ulcers 4.CMV 5.Candidiasis 6.tumor development 7.Bone loss

Question 5

How long does it take a HSCT patient to become immunocompetent?

Answer 5

1 year

Question 6

What are the 4 most common VIRAL infections in immunocompromised patients?

Answer 6

1.Hep (B/C) 2.HIV 3.HSV 4.CMV

Question 7

What are the three most common BACTERIAL infections in immunocompromised patients?

Answer 7

1.Staph 2. UTI 3.TB

Question 8

Which drug causes bone marrow suppression (leukopenia, thrombocytopenia, anemia), increased risk for infection?

Answer 8

AZ-ath-io-PRiNE

Question 9

Which drug affects liver and kidney (HTN, bleeding abnormalities, anemia), GINGIVAL HYPERPLASIA, skin/cervical cancer

Answer 9

cyclosporine

Question 10

Which drug? Anti-thymocyte, Anti-lymphocyte ______: fever, leukopenia, hemolysis, thrombocytopenia, tumor development, increased risk for infection

Answer 10

globulin

Question 11

Which drug is this describing??? HTN, DM II, osteoporosis, impaired healing, mental depression, psychoses, adrenal suppression increased risk for infection

Answer 11

Prednisone

Question 12

If a patient is undergoing Graft vs Host disease, when is a Acute reaction likely to take place?

Answer 12

within 2 months

Question 13

***How long do we DELAY dental care post-transplant?

Answer 13

6 months

Question 14

PRE-transplant MED consult: establish ______ of organ dysfunction, need for prophy abx, and any labs needed.

Answer 14

degree

Question 15

What are the two antibiotics for organ transplant patients?

Answer 15

amoxicillin and metroNidAZole

Question 16

What prophy abx are given if the patient is allergic to penicillin?

Answer 16

Vancomycin

Question 17

What are the 4 common dental drugs to avoid for patients waiting to undergo a kidney transplant?

Answer 17

Acetaminophen, Penicillin, Cephalexin, and Tetracycline

Question 18

What is the protocol if we are concerned about a patient undergoing adrenal crisis?

Answer 18

give corticosteroids before the procedure

Question 19

Are there treatment planning modifications needed for patients with asthma?

Answer 19

Nope

Question 20

Asthma Emergency? Short-acting _________ agent (Ventolin or Proventil) is recommended

Answer 20

beta 2-adrenergic

Question 21

What are the 2 types of COPD?

Answer 21

Chronic Bronchitis and Emphysema

Question 22

A patient is considered to be COPD unstable when their O2 saturation level is less than ___%

Answer 22

91%

Question 23

What is a oxygen % you would like a COPD patient above, and therefor would supplement with O2 if not to that level?

Answer 23

95%

Question 24

Is nitrous oxide contraindicated in patients with COPD? What can be used for sedation?

Answer 24

it is a RELATIVE contraindication…low does diazepam is ok

Question 25

Are there major treatment planning modifications with COPD?

Answer 25

Nope

Question 26

What is the rare syndrome associated with Theophylline??

Answer 26

Stevens-Johnson syndrome