StreamDent

image


All Emergencies - Basic life support principles:

  1. Maintain an airway
  2. Assess breathing
  3. Monitor circulation
Monitor and record all vital signs.
Hypertension Guidelines
 
 
Measured Blood Pressure
Follow-Up Dental Treatment
 
Systolic
Diastolic
   
Normal
<120
<80
Recheck in 2 years Routine dental management
Pre-Hypertension
120 - 139
80 - 89
Recheck in 6 months Routine dental management
Stage 1 (Mild)
140 - 159
90 - 95
Re-check blood pressure prior to dental treatment for three consecutive appointments. If all exceed guidelines, medical consult indicated. Routine dental management; Stress reduction protocol indicated
Stage 2 (Moderate)
160 - 179
96 - 115
Re-check blood pressure in 5 minutes. If still elevated, consider medical consult prior to therapy. Routine dental management; Stress reduction protocol indicated
Stage 3 (Severe)
180 - 209
110 - 119
Re-check blood pressure in 5 minutes.If still elevated, refer to MD immediately
  1. No dental therapy, routine or emergency, until elevated blood pressure is corrected.
  2. Emergency dental therapy with drugs (analgesics, antibiotics)
  3. Refer to hospital if immediate dental therapy indicated
Stage 4 (Very Severe)
>209
>115

 













image
image