Request For Medical Evaluation Essay

A “Request for Medical Evaluation” form will need to be filled out by the Clinician, signed by an Instructor, and faxed over to the attending physician to determine antibiotic to be administered, bleeding precautions, before any treatment may be rendered. (See Prophylactic Antibiotic Regimen before Dental Treatment, Table 1) Physician needs to address any health concerns of the patient and any interactions of drugs. (Little, page 362) Drugs that cause toxicity to the liver should be avoided, such as NSAIDS. Blood pressure needs to be monitored due to the patient’s current medication regimen.
If the Rule of Two’s and the patient’s physician indicates that treatment would be against the best interest of the patient, treatment will be postponed for a later time. If patient is cleared for treatment, an examination will show evidence of signs and symptoms of oral and medical complications due to the drug, Cyclosporine and the liver transplant. Cyclosporine can cause side effects that include anemia, kidney and liver complications that lead to hypertension, diabetes, increased time in healing, rise in the occurrences in infection, lymphoma, xerostomia with salivary glands, and …show more content…
(Malamed, 37) Patient is more than likely experiencing secondary hypertension due to underlying factors that could have caused the disease. (Malamed, 39) Patient falls under the Stage I hypertension and is currently being prescribed a loop diuretic called Furosemide (Lasix) that can cause xerostomia, lichenoid (rash), and orthostatic hypotension. (Little, 42,44)
Patient should be reclined slowly from their position and monitored to avoid orthostatic hypotension. Immediate changes in posture can cause a patient to become dizzy or lightheaded. After some time has passed, clinician should support patient until it is known that equilibrium has been recovered. (Little,