Dental Management

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Asthma/respiratory

MH meds?, inhalers, oxygen, COPD? use of spacer> reduces waste, less oral side effects salbuatmol/reliever -reduces spasms of the bronchioles SH, DR, DH IO; xerostomia and/or candida> due to becotide EO OHI, diet advice, smoking cessation advise pt use spacer or rinse with water after using inhaler apts to suit pt low stress dentistry high volume suction to prevent inhalation of water, aerosols as may trigger asthma attack avoid nsaids and aspirin implications for dental tx; -poorly controlled asthmatics > may not be able to lie flat -sedation used with caution -GA maybe C/I with higher risk of post op complications -pt with severe respiratory disease will have difficulty lying flat, may find dental procedures hard to tolerate - DH must be aware of S&S of asthma attack





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