رجل عمره ٥٩ سنة رُكبت له دعامة دوائية في الشريان التاجي قبل ٤ أشهر بعد احتشاء، ويأخذ أسبرين وكلوبيدوقريل. عنده موعد لخلع ضرس الأسبوع القادم، وطبيب الأسنان قال له يوقف أدوية السيولة. ماذا يعلّمه الممرض؟

A 59-year-old man had a drug-eluting coronary stent placed 4 months ago after an MI and takes aspirin and clopidogrel. He has a tooth extraction next week and the dentist told him to stop his ‘blood thinners’. What should the nurse teach?

1. Take a double dose of aspirin straight after the extraction
2. Stop clopidogrel 5 days before the extraction, then restart
3. Stop both drugs for a full week to reduce bleeding
4. Do not stop either drug without speaking to the cardiologist

Answer: D) Do not stop either drug without speaking to the cardiologist. Stopping antiplatelets early after a drug-eluting stent risks stent thrombosis and a possibly fatal MI. Any interruption is the cardiologist’s decision, and many dental procedures go ahead without stopping.