Patient Evaluation Part 2

Question 1

What are the A1C values starting with 6 and increasing how much?

Answer 1

6=125 increasing 30 each number up (7,8.9…)

Question 2

What is the treatment recommendations with steroid supplementation?

Answer 2

Majority of patients may undergo dental treatment without need for supplemental glucocorticoids. If taking steroids, if taken within 2 hours of surgery, should be sufficient.

Question 3

Gingival hyperplasia should be watched for in patients taking what drugs?

Answer 3

Dilantin, Procardia, Cyclosporin.

Question 4

What are the treatment recommendations for the two dialysis types?

Answer 4

Peritoneal dialysis= regular treatment

Hemodialysis= In between appointments.

Question 5

What is Cushings disease? What is Addisons disease?

Answer 5

Cushings= increased production of cortisol
Addisons= decreased production of cortisol

Question 6

What is the protocol for Steroid Supplementation?

Answer 6

• For mild stress. If their regular dose is less than 7.5 mg, that should be proficient. Greater than 7.5 mg, double it.
• For moderate stress, 10-15 mg prednisone 1-2 days before.
• Major stress, 20-25 mg 1-2 days before.

Question 7

What is INR? What are the levels and goals for each?

Answer 7

International Normalized Ratio. 
1= normal
2= atrial fibrillation target
3= Mechanical heart valve target
4= Risk of uncontrolled bleeding
5= Uncontrolled bleeding