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Hepatitis

MH-meds?, check; liver function-bleeding, metabolism of drugs, cirrohosis, fibrosis, liver cancer, liver transplant > maybe taking immunosuppressants associated diseases-HIV & immune status, SH (drug user or alcohol), DH, DR IO; check for toothwear esp erosion if due to alcoholism EO; jaundice aware that some prescribed meds are to be avoided and others reduced dose. paracetamol reduced AVOID; metronidazole, tetracycline, NSAIDS Articaine metabolised in plasma and Prilocaine metabolised quickly in liver Universal precautions; PPE, chx prior to u/s, high volume suction, ventilation, nurse > if pt immunocompromised this reduces risk of infection follow practice protocol for needle stick injuries if immunocompromised encourage dental attendance, increased risk of perio, candida TREAT EVERY PT THE SAME





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