Special Regimens and Prescriptions for Specific Health Concerns and Contraindications
PROPHYLAXIS REGIMEN FROM THE AMERICAN HEART ASSOCIATION (AHA)
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COUMADIN (WARFARIN)PATIENTS:
- Should schedule an appointment for consultation first then they may be asked to schedule an appointment for a PT/INR at their coumadin clinic two days prior to the procedure.
- They should give my business card to the clinic to FAX results (that day) to me. When results come in I am notified immediately.
- The patient will then be called by staff relaying the message from me whether to continue coumadin or not. Note: I do not routinely stop coumadin and I never completely reverse anticoagulation. Patients are usually treated with INR’s between 2.0 and 2.5.
IV SEDATION PATIENTS
- The patient must have nothing to eat or drink (NPO) for 6 hours.
- The patient must have an escort.
INFECTION:
- Amoxicillin, Clindamycin, etc.
- Chorhexidine Rinse
RECURRENT HSV: (COLD SORES)
- Penciclovir or zovirax cream
- Valtrex tabs
BURNING MOUTH/ MUCOCITIS:
- Decadron Elixir
- Nystatin Oral Solution
- Vitamin B Complex
- Magic Mouth Rinse
BELL’S PALSY TREATMENT:
- Artificial Tears
- Vitamin B complex
- Valtrex (valacyclovir) Z
SINUS EXPOSURE/SINUS PRECAUTIONS:
- Give sinus precaution sheet
- If small exposure in deep socket, protect the blood clot, it will heal.
- If large exposure in shallow socket refer for evaluation, this may need a buccal fat pad flap.