Excessive Bleeding Following an extraction Exam 3 Flashcards
1
Q
Who is at risk for excessive bleeding following an extraction?
A
- Hemophilliac
- Patients taking blood thinners
- Patients experiencing a Hematoma
2
Q
Hemophillai is ?
A
Group of hereditary bledding disorders with deficiency of clotting factors
3
Q
Blood thinners
A
- Often prescribe for post MI, Angina, CVA, bypass, DVT, Atrial fibrillation and embolism
- Risk is dependent on type of dosage of medication
4
Q
Common Prescribed blood thinners are?
A
* Antiplatelets- Aspirin, Clopidogrel (Plavix)
* Anticoagulants- Warfarin / Coumadin, Heparin
* Thrombolytics “Clot busters”- tPA
5
Q
What is the international normalized ratio?
A
INR= 3 or lower
6
Q
How long does Warfin and Heparin last?
A
Warfin is long lasting
Heparin- 1.5 hrs
7
Q
Heparin is?
A
- Used for thrombogenic episodes
- Reduces blood clotting immediately
- Short acting and fast
8
Q
Asprin is used for?
A
- Treat ischemic heart disease, TIA, CVA and minor oral surgeries
9
Q
What is a hematoma?
A
- A pool of mostly clotted blood that forms in
an organ, tissue, or body space. A
hematoma is usually caused by a broken
blood vessel that was damaged by surgery
or an injury
10
Q
What are the signs and symptoms of excessive bleeding ?
A
- Easily recognized
- Heavy bleeding unaffected by
compression lasting up to two hours - Also look for fever, hypotension, altered
mental capacity, and hematoma
11
Q
What are some treatment and Prevention of excessive bleeding?
A
- During the procedure- vasoconstrictors
- Use gelatin packing and absorbable sutures
12
Q
What are postsurgical instructions ?
A
- No exercise 12–24 hours
- Lie down with head elevated for several hours.
- Place gauze over socket and apply PRESSUREfor two hours.
- Can use wet tea bag wrapped in gauze and bite on it
- Tannic acid provides clotting.
- Oozing blood for 12 hours normal;
- but steady flow not normal.
