Management Of Patients with Renal Failure and Kidney Dysfunction

Befor oral surgery :

1- preview Lab Values to detect any bleeding diathesis

2- Monitor Blood Pressure

3- Avoid Nephrotoxic drugs ... Ex: Aspirin, NSAID

4- Decrease the doses of drugs Metabolized in the kidney

5- Aggressively manage the oro facial Infections

6- Enssure that the parients recieving Hemodialysis not undergo rurgery for at least 4 hrs to avoid heparin-induced bleeding

Drugs to be Avoided:

1- Nehrotoxic Drugs ( Ex: Aspirin, NSAIDs

2- Drugs Converted to toxic metabolites ( Ex: Meperidine )

3- Drugs contain excessive electrolytes ( Ex: Penicilin G )

Analgesics to avoid:

1- Aspirin

2- Acetaminophen

3- NSAID's

4- Meperidine

5- Morphine

Antibiotics to Avoid:

1- Cephalosporines.

2- Tetracycline.

3- AminoGlycosides.

4- Erythromycin.

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Authored By:
:: World Of Dentistry ::