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Renal and Hepatic Disease |
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Renal disease: Associated with hypertension, pericarditis, anaemia, coagulation defects, electrolyte disturbances and susceptibility to infection. Renal patients may have: ¨ A bleeding tendency ¨ Impaired drug excretion ¨ Blood pathogens if treated by dialysis or transplantation.
The patient may also be taking immunosuppressive drugs and prophylactic antibiotics may be necessary. Avoid general anaesthesia, NSAIDs, tetracyclines and aminoglycosides. Discuss with the team whose care the patient is under. Plan to complete dental treatment before the transplant.
For more information click on the links below: ¨ Dialysis, renal transplant and nephritic syndrome ¨ Dental examination of the patient with renal disease ¨ Management of the patient with renal disease
Liver disease Liver disease is important because of: ¨ Bleeding tendency ¨ Drug intolerance ¨ Possible viral hepatitis
The bleeding tendency may sometimes partly be reversed by vitamin K, 10mg IM, or IV daily. Drug intolerance is a problem mainly in relation to general anaesthesia, consult the physician if you are considering dental treatment of an in-patient with liver disease.
For more information click on the links below: ¨ Factors affecting treatment under GA and sedation ¨ Examination in the patient with Liver disease
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