Adapted from Malamed SF: Medical Emergencies in the Dental Office

Adapted from Malamed SF: Medical emergencies in the dental office, ed 6, St Louis, 2007, Mosby.
*See Chapter 10 for an explanation of ASA Physical Status Classification.
†When the blood pressure is slightly above the cutoff for category IV and when anxiety is present, the use of inhalation sedation may diminish the blood pressure (via the elimination of stress) below the 200/115 level. The patient should be advised that if the nitrous oxide and oxygen succeeds in decreasing the blood
-The client's blood pressure readings taken 10 minutes apart are 120/89.When the client came in last week the blood pressure was 120/80.According to the blood pressure guidelines in the chart,which best describe the recommendations for dental treatment?

A) No medical consultation,treat as usual.
B) Recheck blood pressure for three consecutive appointments.
C) The patient should be referred for a medical consultation after dental treatment.
D) The patient should be referred for a medical consultation before dental treatment.