Logged in as | Logout

Multilingual Support:

Concerns

Causes

Signs and symptoms

Action

Causes

  • inadequate pain control
  • excess total volume of epinephrine containing local anesthetic
  • inadvertent intravascular injection of epinephrine containing local anesthetic

Signs and symptoms

  • sustaine and/or significant elevation in blood pressure (SBP >250 mm Hg and/or DBP >130 mm Hg)
  • severe headache
  • confusion
  • blurred vision
  • chest pain
  • anxiety
  • shortness of breath (SOB)
  • nausea and vomiting
  • swelling or edema
  • seizures
  • unresponsiveness

Hypertensive urgency is defined as SBP >180 mm Hg and/or DBP >110 mm Hg; these signs may be accompanied by headache, anxiety, SOB and nose bleed, and requires urgent evaluation.

Action

  • consider differential diagnosis of myocardial infarction, thyroid crisis, or dissecting aortic aneurysm
  • eliminate pain. If the blood pressure does not return to acceptable levels within a couple of minutes of onset or continues to increase, terminate dental treatment immediately
  • place the patient in an upright position
  • initiate BLS and activate EMS
  • monitor vial signs
  • administer oxygen

OK