Question 45 of 46

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The use of an anesthetic with a vasoconstrictor for someone with significant cardiovascular disease is a relative contraindication, which means that it would be preferable to avoid the drug in question (in this case, epinephrine).

An alternative drug that is not contraindicated should be used, however if this is not possible, the drug in question may be used judiciously. The minimum dose that will provide pain control is to be used.