1. Early 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.

2. Patients on chronic drug therapy may develop blood dyscrasias. Symptoms include fever, sore throat, bleeding, and poor wound healing.

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

4. If the drug is used for sedation in the dental office, assess vital signs before administration and every 30 minutes thereafter.

5. Monitor respiratory function.

6. Have the patient sit up slowly and remain seated for at least two minutes after being supine in order to minimize the risk of orthostatic hypotension.

7. The patient should have someone drive him to and from the dental office if the drug is used for conscious sedation.

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