Pharmacology · single question
A patient undergoing hemodialysis presents for dental treatment. Which medication is typically administered during dialysis that is relevant to dental management?
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Correct answer: C. Heparin
Heparin is administered systemically during hemodialysis to prevent clotting in the dialysis circuit. This anticoagulation effect persists for several hours after dialysis, increasing the bleeding risk during dental procedures performed on the same day. The recommended approach is to schedule dental procedures the day after dialysis, when heparin effects have cleared and the patient is not fatigued from the dialysis session. Warfarin is an oral anticoagulant used for chronic conditions such as atrial fibrillation or thromboembolism prophylaxis, not hemodialysis per se. Aspirin is not used in the dialysis circuit.