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ADRENAL INSUFFICIENCY & DIABETES MELLITUS-dental courses

  • Evaluate the patient.
  • Determine whether systemic corticosteroid was taken within the past 2 weeks and the reason for discontinuing usage.
  • Identify signs and symptoms of possible adrenal insufficiency.
  • If major invasive oral procedure is planned and corticosteroid was taken within the past 2 weeks, consult with the physician regarding status and stability
  •  If adrenal insufficient, implement steroid supplementation protocol.

 

 

  • Monitor blood pressure (BP) and blood loss throughout the procedure.
  • If BP drops to below 100/60 mm Hg and the patient is unresponsive to fluid replacement and vasopressive measures, administer supplemental steroids.
  • Communicate with the patient at the end of the appointment and within 4 hours postoperatively to determine whether features of weak pulse, hypotension, dyspnea, myalgias, arthralgia,

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