Medical Emergencies · single question

A patient on dialysis presents for dental treatment. Which of the following complications would you most likely expect during dental treatment?

  1. Hypoglycemia
  2. Hyperglycemia
  3. Hypertension
  4. Adrenal crisis
Show answer and explanation

Correct answer: C. Hypertension

  • A. INCORRECT — Hypoglycemia is not a primary concern of dialysis; it can occur in diabetic dialysis patients but is not the expected complication from dialysis alone.
  • B. INCORRECT — Dialysis patients are not typically hyperglycemic unless they also have diabetes mellitus. Hyperglycemia is not a primary concern from dialysis itself.
  • C. CORRECT — Patients with end-stage renal disease (ESRD) on dialysis commonly have hypertension due to fluid overload, renin-angiotensin-aldosterone system dysregulation, and inadequate control between dialysis sessions. Blood pressure monitoring is essential during dental treatment.
  • D. INCORRECT — Adrenal crisis is a concern in patients on long-term corticosteroids, not dialysis patients specifically.

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