Medical Emergencies · single question
A patient receives hemodialysis on Mondays and Thursdays. On which day is dental treatment best scheduled?
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Correct answer: D. Friday
- A. Incorrect. Wednesday is two days after Monday's session, when uremic toxin accumulation is rising again.
- B. Incorrect. Sunday is three days after Thursday's session — the point of maximum uremia before Monday's dialysis.
- C. Incorrect. Treating on a dialysis day means active heparinisation and significant bleeding risk.
- D. Correct. Treat on the DAY AFTER dialysis. Uremic toxins are cleared, and the heparin given during dialysis has worn off (half-life ~4 hours), so bleeding risk is minimised. Friday follows Thursday's session.
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