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Renal failure and dental prescribing — NDEB AFK MCQ

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HardBiomedical SciencesRenal failure and dental prescribingNDEB AFK

A 63-year-old on haemodialysis needs management of dental pain from tooth 4.7. He has hypertension and a history of gastric bleeding. What is the most important consideration?

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Correct answer: B — Avoid nephrotoxic analgesic choices and coordinate care

Renal failure, dialysis anticoagulation, and gastrointestinal bleeding history require careful analgesic selection and coordination with the medical team. High-dose NSAIDs may worsen renal and gastrointestinal risk. The pearl is to consider timing after dialysis, bleeding tendency, infection status, and renal dosing for prescribed drugs.

Reference: Canadian dental pharmacology references; NDEB KSAs 2024