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08 geriatric care and special needs adults

Terms in this set (7)

interprofessional practice CASE

good pasture syndrome is a rare and potentially life-threatening autoimmune disease. it causes buildup of autoimmune proteins in the kidneys and lungs that leads to damage of these organs. the disorder is named after Dr. Ernest Goodpasture who first identified the syndrome in 1919. its estimated to occur in 1 out of 1 million people per year

without prompt diagnosis and treatment, the condition can lead to significant bleeding in your lungs, kidney inflammation and failure and even death

dental care received:
-exam
-full mouth radiographs
-composite restoration tooth #8
-root plane = all quadrants
-all under general anesthesia
-when finished-pharyngeal and gingival hemorrhaging did not stop:
--attempted to reduce gingival bleeding, no active bleeding
--anesthesiologist administered medication for hemostasis
--ENT surgeon came in intra-operatively to evaluate bleeding


BLEEDING WAS ONLY GINGIVAL
-pt. was kept intubated due to bleeding and under general anesthesia
-pt. was taken directly to ICU
-pt. emerged from general anesthesia but kept intubated due to risk of blood aspiration
-hematologist was involved to address the hemorrhaging

after dental care in 2016:
-multiple days of dialysis in ICU
-a blood transfusion
-a 7 day stay in the ICU until the gingival bleeding has stopped
-bleeding complicated by good pasture syndrome
-anemia-kidney produce EPO which stimulates red blood production

patient still on kidney transplant list:
-patient continues to receive dental care under general anesthesia, because, if a kidney becomes available, a dental clearance is needed

june 2018:
-periodontal maintenance with general anesthesia
-pt. stayed 2 days in hospital to monitor bleeding and for dialysis, no transfusion required
interprofessional practice CASE

good pasture syndrome is a rare and potentially life-threatening autoimmune disease. it causes buildup of autoimmune proteins in the kidneys and lungs that leads to damage of these organs. the disorder is named after Dr. Ernest Goodpasture who first identified the syndrome in 1919. its estimated to occur in 1 out of 1 million people per year

without prompt diagnosis and treatment, the condition can lead to significant bleeding in your lungs, kidney inflammation and failure and even death

dental care received:
-exam
-full mouth radiographs
-composite restoration tooth #8
-root plane = all quadrants
-all under general anesthesia
-when finished-pharyngeal and gingival hemorrhaging did not stop:
--attempted to reduce gingival bleeding, no active bleeding
--anesthesiologist administered medication for hemostasis
--ENT surgeon came in intra-operatively to evaluate bleeding


BLEEDING WAS ONLY GINGIVAL
-pt. was kept intubated due to bleeding and under general anesthesia
-pt. was taken directly to ICU
-pt. emerged from general anesthesia but kept intubated due to risk of blood aspiration
-hematologist was involved to address the hemorrhaging

after dental care in 2016:
-multiple days of dialysis in ICU
-a blood transfusion
-a 7 day stay in the ICU until the gingival bleeding has stopped
-bleeding complicated by good pasture syndrome
-anemia-kidney produce EPO which stimulates red blood production

patient still on kidney transplant list:
-patient continues to receive dental care under general anesthesia, because, if a kidney becomes available, a dental clearance is needed

june 2018:
-periodontal maintenance with general anesthesia
-pt. stayed 2 days in hospital to monitor bleeding and for dialysis, no transfusion required