References Flashcards
(26 cards)
When is Coumadin (Warfarin) prescribed?
Atrial fibrillation Myocardial infarction (heart attack) Stroke Deep Vein Thrombosis Prosthetic valve replacement
Used to see how long it takes for a patient’s blood to clot.
INR
Therapeutic INR range for most conditions.
2-3
When should an INR be done if invasive procedures are occurring (like multiple extractions)?
24 hrs before
This is a famous anti-coagulant.
Warfarin/Coumadin
These are anti-platelets
Aspirin and Clopidogrel (Plavix)
Used to prevent stroke, heart attack, and to maintain cardiac stent placement.
Anti-platelets like Aspirin
Anti-platelet therapy should NOT be discontinued within _____ year of stent placement.
One
What patients should you be cautious about using local anesthesia with epinephrine?
Hypertensive patients and those with uncontrolled HYPERthyroidism.
Epi in people with uncontrolled hyperthyroid can cause a hypertensive crisis.
At what BP do we avoid elective dental care?
> 180/110
What about retraction cords impregnated with epi?
Avoid in ALL patients with hypertension.
Diabetic patients should be questioned about this test
Hb A1C
Measures glycosylated Hb over a 3-month period.
A1C
What is the blood glucose reading of a HYPOglycemic event?
<72 mg/dL
What to do during a hypoglycemic event?
Give sugar (orange juice, cake frosting, etc).
What do you do when a patient loses consciousness?
Call a code 5
Antibiotic prophylaxis should be given to all patients within _____ years of joint replacement.
2
Do orthopedic pins, plates, and screws need antibiotic prophylaxis?
NO
Avoid elective dental care in which trimesters for a pregnant patient?
First trimester and latter half of the third trimester.
Elective dental care in a pregnant patient should be deferred to when?
Post-partum phase (after birth).
Pregnancy Category A
No risk to fetus
Positive evidence of human fetal risk.
Pregnancy Category D
Cause fetal abnormalities and should be avoided in all pregnant women.
Pregnancy Category X
Heart conditions in which antibiotic prophylaxis should be done before a dental procedure to prevent bacterial endocarditis:
1) Prosthetic valves
2) Previous infective endocarditis
3) Congenital Heart Defect that is Unrepaired
4) Completely repaired congenital heart defect with prosthetic material or device placed within the last 6 months.
5) Heart transplant recipient who developed cardiac valvulpapthy.
