Hypertension

  1. definition of hypertension
    - SBP ?
    - DBP ?
    • SBP ≥ 140 mmHg
    • DBP ≥ 90 mmHg
  2. Normal BP?
    • SBP < 120 mmHg
    • DBP < 80 mmHg
  3. Prehypertension?
    • SBP < 140 mmHg (120-139)
    • DBP < 90 mmHg (80-89)
  4. Stage 1 Hypertension?
    • SBP < 160 mmHg (140-159)
    • DBP < 100 mmHg (90-99)
  5. Stage 2 Hypertension?
    • SBP ≥ 160 mmHg
    • DBP ≥ 100 mmHg
  6. Etiology of primary hypertension (90%) ?
    No specific mediacal causes

    H/ There are related factors:

    • sodium intake
    • alcohol consumption
    • genetic
    • overweight
    • race
  7. Etiology of secondary hypertension (10%) ?
    caused by other medical conditions/ drug usage/ etc
  8. There are two treatment for hypertension?
    • Lifestyle modification
    • Pharmacologic treatment
  9. Which age should measure BP before operation?
    age > 40 yo
  10. Dental management for prehypertension pt?
    • routine dental care
    • encourage pt to see physician
  11. Dental management for stage 1 hypertension pt?
    • routine dental care - use adrenaline with caution!
    • encourage pt to see physician
  12. Dental management for stage 2 hypertension (≥160/100 but ≤180/110) pt?
    • routine dental care
    • intraoperative monitering of BP***
    • refer pt to physician
  13. Dental management for pt with BP ≥ 180/110 ?
    • defer elective treatment
    • refer pt to physiciam ASAP or (immed. if symptomatic)

    Remember: no routine care for pt with target organ involvement as well!
  14. Routine delivery of dental care to a patient with severe uncontrolled hypertension could result in a serious outcome:
    • angina, myocardial infarction
    • stroke
  15. For pt with hypertension, what is the aximum dose of LA with 1:100,000 epinephrine per appointment?
    3.6 ml
  16. How much epinephrine can be used in mg?
    With that quantity, how many cartridge of LA with 1:100,000 and 1:200,000 can be used?
    • epinephrine = 0.04 mg
    • LA with 1:100,000 = 2 cartridges
    • LA with 1:200,000 = 4 cartridges - suitable for longer operation!
  17. In patients taking nonselective beta blocker, excessive use of vasoconstrictors can cause?
    acute elevation in blood pressure
Author
Bentley
ID
337096
Card Set
Hypertension
Description
Source: CMU (Aj Nuchada)
Updated