Anticoagulant Treatment Essay
Coagulation disorders / anticoagulant treatment: It is not uncommon to see the patient with coagulation disorder requiring dental treatment. Patients with hemophilia should be referred to the physician for correcting the coagulation abnormality whenever required. Patients with known coagulation disorders needs to be evaluated first by the physician and once it is normalized the dental treatment can be carried out. Many times elderly patients reaching dental OPDs will be receiving anticoagulant treatment. The cause for starting of anticoagulant treatment, and whether it can be discontinued before the proposed procedure should be discussed with the physician. Patients with liver, renal failure or on chemotherapy may be at risk for bleeding. Different …show more content…
Asthma is a common chronic disorder of the airways that is complex and characterized by variable and recurring symptoms, airflow obstruction, bronchial hyperresponsiveness, and an underlying inflammation. [28] Patients with the history of COPD may present with recurrent coughing of mucoid secretions (chronic bronchitis) or breathlessness caused by destruction of the airways. [29] …show more content…
[32] All the medications like, bronchodilators and steroid inhalers should be continued. The patients are asked to carry all the medication on the day of treatment. A physician advice or opinion to step up the treatment has to be considered before the start of the treatment, if patient is having acute exacerbations. LA with adrenaline can be used cautiously as these patients may also have corpulmonale features. Patients with COPD in acute emergency the oxygen supply should be judiciously used as the oxygen itself may suppress the respiratory center. The non steroidal anti inflammatory drugs are contraindicated in these patients as it may precipitate the acute
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