What precautions should the dental professional exercise with a patient taking an a-adrenergic receptor blocker? (Select all that apply.)

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Patients taking a-adrenergic receptor blockers may experience orthostatic hypotension causing dizziness or fainting when standing up quickly. Therefore, the dental professional should raise and lower the dental chair slowly. The use of local anesthetic with no or low-dose epinephrine is recommended to avoid exacerbating this hypotensive effect. The patient may also have an increased tendency for bleeding due to the effect of the medication on platelets, so the dental professional should use caution and local measures such as pressure, sutures, or hemostatic agents. NSAIDs may also exacerbate the antihypertensive effect of a-adrenergic receptor blockers, but this will not cause a hypertensive crisis.

What Precautions Should the Dental Professional Exercise with a Patient