Violation

A patient with a history of hypertension presents for an emergency dental extraction. His blood pressure is 158/100 mmHg. The dentist intends to use lidocaine 2% with 1:100,000 epinephrine for local anesthesia. The most appropriate management is to

extract the tooth using a maximum of two cartridges.

extract the tooth and advise the patient to take additional antihypertensive medication.

extract the tooth using a maximum of four cartridges.

direct the patient to a hospital emergency room.

Please describe the matter of abuse