Question

An anxious 67 year old patient presents for

consultation to extract tooth 4.6. The medical history
includes a heart murmur, hypertension and a
cerebrovascular accident 5 years ago. Medications
include clopidrogel, hydrochlorothiazide and
rosuvastatin. What is the most appropriate
preoperative management?
A. Prescribing antibiotic prophylaxis.
B. Ordering an INR test within 24 hours prior to
procedure.
C. Discussing with the patient the use of sedation.
D. Requesting a complete blood count.

Answer 1

Ordering an INR test within 24 hours prior to the procedure is the most appropriate preoperative management.

Step-by-step explanation:

The most appropriate preoperative management for an anxious 67-year-old patient with a heart murmur, hypertension, and a cerebrovascular accident 5 years ago, who is taking clopidogrel, hydrochlorothiazide, and rosuvastatin, is option B: Ordering an INR test within 24 hours prior to the procedure.An INR test, which measures the blood's ability to clot, is important in patients taking medications like clopidogrel, as it helps determine the risk of excessive bleeding during the tooth extraction procedure.This step allows the medical team to assess the patient's bleeding risk and take appropriate measures, such as adjusting medication dosages or formulating a plan to manage bleeding complications.