Unusual Scheduling With Diabetic Patient

A DOCS Education Member asks:
I have a 62-year-old male diabetic patient who is coming to the office for the pre-sedation workup.

He is taking the following medications:

  • Amlodipine benzilate 20mg /day,
  • Atorvastatin 10mg/day,
  • Bisoprolol fumarate 1.25 mg 2 tabs/day,
  • Omeprazole 40mg/day,
  • Bupropion HCL 150mg.
  • Metformin 500mg ,
  • Claritin 2 / day.

I intend to use incremental protocol 2, with the time of treatment being three hours. The needed treatment is four quadrants of scaling and root planing, two extractions (tooth #31 and #15) with bone graft and a crown for #19.

Because of his schedule he cannot arrive at 7:00 am, so he made the treatment appointment for 10:00 am.

Question #1: Can he still take diazepam the night before?
Question #2: Can he have a light breakfast at 7:00 am?
Question #3: I am planning to use 4 carpules of Lidocaine 2% with 1:100,000 epinephrine. In the extraction side, I will probably use 4 carpules of septocaine 4% locally.
Please give me your thoughts or any suggestions!

Thanks in advance for your advice.


DOCS Education faculty member, Dr. Jerome Wellbrock, responds:

Yes, diazepam the night before is ok. He should take a light non-fatty breakfast since he is diabetic.

Sounds like you have thought through this case and planned it out well!

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