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Review Question - QID 6674

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QID 6674 (Type "6674" in App Search)
A 65-year-old patient is undergoing a right total shoulder replacement. He has been on long-standing narcotics for chronic pain. He has pulmonary disease, diabetes, coronary heart disease and BMI=31. His medication list includes a corticosteroid inhaler and aspirin. A pre-operative ECG work up showed first degree heart block. Lung function testing revealed a forced expiratory volume (FEV1) of 45%. What would be a relative contraindication to an interscalene nerve block for this patient?
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