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Anesthesia · single question

When treating a patient with COPD, what is the correct approach to epinephrine in local anesthetic?

  1. Epinephrine is not contraindicated in COPD and can be used in appropriate dental doses
  2. Epinephrine is absolutely contraindicated in all COPD patients
  3. Epinephrine must be replaced with a beta-blocker
  4. Local anesthesia should be avoided entirely
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Correct answer: A. Epinephrine is not contraindicated in COPD and can be used in appropriate dental doses

COPD itself is not a contraindication to epinephrine; beta-2 stimulation can even favor bronchodilation. Standard dental epinephrine doses are acceptable, with caution mainly in those with concurrent significant cardiovascular disease.Other options: Epinephrine is not absolutely contraindicated; beta-blockers would worsen bronchospasm risk; withholding local anesthesia is unnecessary.Key exam takeaway: COPD alone does not contraindicate epinephrine; use normal dental doses, and be cautious mainly if heart disease coexists.

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