Epinephrine should NOT be used on patients who:

Study for the StudentRDH Local Anesthesia Exam. Test your knowledge with flashcards and multiple choice questions, each with hints and explanations. Prepare confidently for your exam!

Epinephrine is a vasoconstrictor commonly used in local anesthetics to prolong anesthesia duration and minimize bleeding during procedures. However, its use can pose risks for certain patients, particularly those with cardiovascular conditions.

Patients who experience angina on a daily basis have significant underlying cardiovascular issues, indicating that their heart is under considerable stress and may not tolerate additional stress induced by epinephrine. The use of epinephrine can potentially elevate heart rate and blood pressure, exacerbating angina symptoms and increasing the risk of serious complications, such as myocardial infarction or arrhythmias.

While the other patient scenarios also carry risks, the immediate and daily experience of angina suggests a heightened vulnerability to the cardiovascular effects of epinephrine. Thus, the correct management would lead to the avoidance of epinephrine in this case to ensure patient safety and minimize the risk of exacerbating angina-related symptoms.

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