Which set of actions is described for hypotension management?

• A. Trendelenburg position
• B. Elevate the patient’s legs
• C. Turn nitrous off and oxygen to 8 L/min
• D. All of the above

Answer: (D)

When hypotension occurs during oral sedation, the goal is to restore perfusion and oxygen delivery quickly. Positioning the patient with the head lower than the feet and elevating the legs helps gravity move blood back toward the heart, increasing venous return and raising blood pressure to improve cerebral perfusion. If the hypotension is related to nitrous oxide or the depth of sedation, turning off nitrous removes its vasodilating and depressant effects, while delivering oxygen at a high flow ensures tissues receive enough oxygen. Using all of these steps together addresses both circulation and oxygenation, making this combination the fastest and most reliable way to counteract the drop in blood pressure. If there’s no prompt response, follow protocol and seek additional help.