Measure blood pressure at every visit. Defer elective treatment if BP > 160/100. Hypertensive crisis (≥180/120): Do not treat, refer immediately. Use caution with vasoconstrictors in local anesthetics.
Management Guidelines
Blood Pressure Monitoring
Measure BP at every appointment
Use appropriate cuff size
Record readings for reference
Treatment Recommendations
Normal (< 130/80): Proceed with treatment as planned
Elevated (130-139/80-89): Proceed with caution, minimize stress
High (140-159/90-99): Defer elective treatment, refer to physician
Very High (≥160/100): Defer elective treatment, refer immediately
Hypertensive Crisis (≥180/120): Do not treat, refer immediately to ER
Local Anesthetic Considerations
Limit epinephrine-containing anesthetics
Use plain lidocaine when possible
If vasoconstrictor needed, use minimal concentration (1:100,000 or less)
Aspirate before injection to avoid intravascular injection