Question

Which treatment plan modifications should be made for a patient with heart disease concerning the administration of local anesthetic by injection?

A) Increase the dosage of local anesthetic for better pain control.
B) Avoid the use of local anesthetic injections entirely.
C) Consider using a local anesthetic with vasoconstrictors and use with caution.
D) Use only non-injection methods for local anesthesia.

Answer 1

For a patient with heart disease, treatment plan modifications regarding the administration of local anesthetic by injection should include considering the use of a local anesthetic with vasoconstrictors, using only non-injection methods for local anesthesia, and closely monitoring the patient's condition with their cardiologist.

Step-by-step explanation:

For a patient with heart disease, the treatment plan modifications concerning the administration of local anesthetic by injection should be:

1. Consider using a local anesthetic with vasoconstrictors and use with caution. Some local anesthetics contain vasoconstrictors, which can help minimize bleeding and decrease the risk of adverse effects on the heart. However, caution should be exercised in patients with heart disease due to potential cardiovascular effects.
2. Use only non-injection methods for local anesthesia. Non-injection methods, such as topical application or transdermal patches, may be safer for patients with heart disease as they avoid systemic absorption and the potential cardiovascular effects associated with injections.
3. Ensure close monitoring and communication with the patient's cardiologist to assess the safety and potential risks of local anesthetic administration.