A 36 year old female comes into your office with a broken front tooth. She would like to have it fixed, because she cannot smile. Her medical history is significant for brittle juvenile diabetes, end stage kidney failure, hypertension and she is on hemodialysis 3 days a week (every other day). She is awaiting a kidney donor and has been on the list for one year. Upon clinical examination, you decide the tooth is not restorable and requires an extraction.
1. What must you consider in planning the extraction appointment for this patient?
a. Possibility of prolonged bleeding, hyperglycemia, what days she goes to dialysis.
b. Need for antibiotic prophylaxis, possibility of prolonged bleeding, hyperglycemia, what days she goes to dialysis.
c. Possibility of prolonged bleeding, need for antibiotic prophylaxis, what days she goes to dialysis.
d. Difficulty getting her numb, need for antibiotic prophylaxis, possibility of adrenal crisis, hypertension.
Correct answer : c