Medical Emergencies · single question
A patient on dialysis Monday and Thursday — what is the best day to schedule dental treatment?
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Correct answer: D. Friday
- A. The day BEFORE dialysis represents maximum uremia (waste accumulation) — the WORST day for dental treatment.
- B. Sunday is the farthest from dialysis — maximum uremia would have accumulated by this point.
- C. Treating on the SAME DAY as dialysis is appropriate BEFORE dialysis (clean state) but the source identifies Friday as optimal.
- D. For a patient on DIALYSIS Monday and Thursday, the best day for dental treatment is FRIDAY — the day AFTER their Thursday dialysis session. Reasons: (1) The patient has been dialyzed (toxins removed, blood pressure controlled), (2) If heparin was used during dialysis, 8-12 hours have passed allowing heparin effect to wane, (3) The patient is in the best systemic condition post-dialysis. Avoid Mondays and Thursdays (dialysis days) and avoid days immediately BEFORE dialysis (maximum uremia).
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