General

1. Monitor vital signs at every appointment because of cardiovascular and respiratory side effects.

2. The patient may require a semisu-pine position in the dental chair to help with breathing.

3. Dental procedures may cause the patient anxiety which could result in an asthma attack. Make sure that the patient has his/her sympathomimetic inhaler present or have the inhaler from the office emergency kit present.

4. Morning and shorter appointments as well as methods for addressing anxiety levels in the patient can help to reduce the amount of stress that the patient is experiencing.

5. Sulfites present in vasoconstrictors can precipitate an asthma attack.

6. Decreased saliva flow can put the patient at risk for dental caries, perio-dontal disease, and candidiasis.

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