preferable to avoid administering the drug but may be used judiciously/carefully
=do not administer drug under ANY circumstances...a LIFE-THREATENING risk!
ex) allergies to sulfites or esters, cocaine use, uncontrolled medical conditions
Conditions needing modifications of the agent
-liver disease (limit amide dose)
-alcoholism (limit amide dose)
-kidney disease (limit amide dose)
-esters vs amides
-short vs long acting
-vasoconstrictor or not?
-concentration (kid vs old vs healthy)
-routine care, stress reduction
-mild-moderate systemic disease (HBP)
-routine care, stress reduction, limit length of appt
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