1. Monitor vital signs at every appointment because of cardiovascular and respiratory side effects.
2. Report any evidence of angioede-ma (swelling of face, lips, extremities, tongue, mucous membranes, glottis, or larynx) esp. after first dose (but may also be delayed response).
3. 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.
5. Dental procedures may cause the patient anxiety or place stress on the heart. Assess cardiovascular patient for this risk.
6. 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.
8. Patients on sodium-restricted diets should receive sodium-containing fluids (i.e., saline solution) with caution.
9. Vasoconstrictors should be used with caution, in low doses, and with careful aspiration.
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This guide Don't Panic has tips and additional information on what you should do when you are experiencing an anxiety or panic attack. With so much going on in the world today with taking care of your family, working full time, dealing with office politics and other things, you could experience a serious meltdown. All of these things could at one point cause you to stress out and snap.