A patient who is a hepatitis B carrier presents for an extraction. The extraction should be delayed and
an evaluation of liver function performed
rescheduled at the end of the day for infection control.
an antibiotic prescribed prophylactically.
the patient referred to a hospital dental department.
1 explanations
chok.yeung
Liver failure leads to decreased VitK absorption and lack of vitK dependent clotting factor.
heptatosplenomegaly --> thrombocytopenia
Pts with liver failure AVOID Acetominophen (2000mg/day max or none at all)
LA like lidocaine are metabolized in the liver - be careful, you can use articaine as this is partly metabolized int eh plasma
chok.yeung