Pediatric Dentistry · single question
A patient on dialysis is scheduled for dental treatment. The BEST day to schedule non-emergency dental treatment is:
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Correct answer: B. The day after a dialysis session
- A. The day OF dialysis (before) — heparin anticoagulation is active, increasing bleeding risk.
- B. Correct. The best day for dental treatment in dialysis patients is the DAY AFTER dialysis for several reasons: (1) heparin given during dialysis has a short half-life and is mostly cleared by the next day, reducing bleeding risk; (2) fluid and metabolic balance is optimized post-dialysis; (3) the patient is not yet due for dialysis again.
- C. 3 days before dialysis — metabolic waste products and electrolyte imbalances are at peak accumulation.
- D. Any day without modification ignores the significant medical complexities of dialysis patients.
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