renal disease

Created by: DianaIspas
Created on: 02-02-21 16:08

talk about urine formation

A: glomerular filtration: water and solutes smaller than proteins are forced through the capillary walls and pores of the glomerular capsule into the renal tubule
B: tubular reabsorption: water, glucose, amino acids and needed ions are transported out of

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what is the dental consideration with acute kidney injury

Avoid NSAID prescribing in renal patients: paracetamol is analgesic of choice

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what drugs exacerbate pre-exisitng renal disease

• NSAIDs
• ACE inhibitors/ Angiotensin II blockers
• Diuretics
• Tetracyclines
• Aminoglycoside antibiotics
• Cyclosporin

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what are the chronic kidney disease (formerly chronic renal failure or CKD) effects

• Uraemia
- Reduced immunity, reduced platelet function, malaise, nausea, itch
• Fluid retention and reduced urine production
- Hypertension, oedema
• Lack of erythropoietin
- anaemia
• Renal osteodystrophy
- Secondary hyperparathyroidism

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what should you be aware of if the patient has haemodialysis on the day of the dental appt

they are Anticoagulated fully!

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what are the renal disease oral manifestations

• Xerostomia
• Taste disturbance
• Occasional burning sensation of lips and tongue
• Mucosal pallor- anaemia
• Petechia/ mucosal bruising from platelet dysfunction and anticoagulation during haemodialysis
• Renal bone disease- loss of lamina dura, radio

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talk about dentistry and renal disease

Dialysis: best to perform dental Rx day after dialysis, do not perform venepuncture or cannulation in fistula arm
Co-existing DM in many patients: usual cautions around this and dental Rx
Transplant patients: complications of immune-suppressants (predniso

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what could be some dental treatment modifications in renal disease

 Avoid dental Rx on the day of haemodialysis due to anticoagulation effects, unless an emergency
 Major emphasis on good oral hygiene

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Card 2

Front

what is the dental consideration with acute kidney injury

Back

Avoid NSAID prescribing in renal patients: paracetamol is analgesic of choice

Card 3

Front

what drugs exacerbate pre-exisitng renal disease

Back

Card 4

Front

what are the chronic kidney disease (formerly chronic renal failure or CKD) effects

Back

Card 5

Front

what should you be aware of if the patient has haemodialysis on the day of the dental appt

Back

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renal disease