Maximum epinephrine dose for a hypertensive (cardiac risk) patient per appointment?

Correct answer: A. 0.04 mg (= 2 carpules of 1:100,000)

• A. Correct. The widely cited maximum epinephrine dose for cardiac-risk/hypertensive patients in a dental appointment is 0.04 mg (equivalent to about 2 carpules of 1:100,000 epinephrine).
• B. This dose is lower than the standard cited maximum for cardiac-risk patients.
• C. This dose is too low compared to the standard guideline.
• D. This dose (equivalent to just 1 carpule) is overly conservative compared to the standard cited maximum.

Note: Hypertensive/cardiac-risk patients: maximum epinephrine = 0.04 mg per appointment.