Dental Concerns

General

1. Laboratory studies should include CBCs and PT times.

2. Increased risk of thrombo-hemor-rhagic complications including prolonged bleeding time, anemia, and splenomegaly. Thrombosis may occur in some patients.

3. Mucosal bleeding may be a symptom of essential thrombocythe-mia.

4. Consider repositioning dental chair to semisupine condition for patient discomfort because of GI side effects.

5. Monitor vital signs at every appointment because of cardiovascular and respiratory side effects.

Consultation with Primary Care Provider

1. Consult with physician supervising therapy or hematologist before dental treatment.

Client/Family Teaching

1. Inform dental personnel of unusual bleeding episodes which occur after dental procedure.

2. Update medication/health history each time the physician changes anagrelide regimen.

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