Preoperative health status
Care of the hvpertensive patient includes use of an anxietv reduction protocol and monitoring of vital signs. Epinephrinc-containing local anesthetics should be used cautiously; after surgery patients should be advised to seek medical care for their hypertension.
Elective oral surgery for patients with severe hypertension (i.e., systolic pressure of 200 or more or diastolic pressure of ] 10 or more) should be postponed until the pressure is better. controlled. Emergency oral surgery i n severely hypertensive patients should be performed in a well-controlled environment or ‘in the hospital to allow the. pressure and patient to be carefully monitored during surgery and then arrange for acute blood pressure control (Box 1-17).