(1-11-17) Sedation in Dentistry Flashcards Preview

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Flashcards in (1-11-17) Sedation in Dentistry Deck (19)
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1
Q

a minimally depressed level of consciousness that retains the Patient’s ability to independently maintain an airway and respond appropriately to physical stimulation or verbal command that is produced by a pharm or non-pharm method or a combo of

A

sedation

2
Q

what are the 3 components of sedation?

A
  • analgesia
  • anxiolysis
  • amnesia
3
Q

what is needed to receive an oral conscious sedation permit

A

-apply on a prescribed application to Ohio State dental board
-submit fee (327$)
produce evidence that you have successfully completed pre-doctoral or continuing ed training (60 hrs)

4
Q

of the most common fears, what percentage is “going to the dentist”?

A

21%

5
Q

what % of the population voluntarily avoid seeking dental care due to fear of dentistry

A

6-14%

14,000,000 - 34,000,0000

6
Q

how long does fear occur for?

A
  • gernerally short-lived

- disappears when external danger or threat passes

7
Q

what type of reaction does your body give to fear?

A

-both psychological and physical reaction

tachycardia, sweating, hyperventilation, shaking

8
Q

what type of response is anxiety?

A
  • internalized response

- generally learned response

9
Q

what does anxiety come from?

A

arises from anticipation of an event, especially when the OUTCOME IS UNKNOWN

10
Q

what are the 5 basic fears?

A
  • pain
  • unknown
  • helplessness and dependency
  • bodily change and mutilation
  • death
11
Q

potentially tissue damaging thermal or mechanical energy impinging upon

A

NOCICEPTION

  • specialized nerve endings
  • mostly A delta and C fibers
12
Q

an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage

A

pain

13
Q

what processes are involved with pain experience?

A
  • transducitons
  • transmission (good at interrupting this)
  • modulation
  • perception
14
Q

what are the two aspects of pain?

A
  • sensory

- affective

15
Q

what is encompassed by the sensory aspect of pain?

A
  • pain detection threshold
  • ID/location
  • reproducible
  • intensity
16
Q

what is encompassed by the affective aspect of pain?

A
  • escape threshold
  • reaction
  • variable
  • unpleasantness
17
Q

where does GA begin?

A

at loss of consciousness

18
Q

what type of people should receive sedation?

A
  • anxious patient
  • medically compromised
  • children
  • elderly
  • mentally challenged
  • pt with pain
  • those who want it
19
Q

what is involved in stress reduction protocol?

A
  • recognition of anxiety
  • recongnition of medical risk
  • medical consultation
  • pre-med intraop. sedation
  • analgesia
  • morning appt
  • duration of appt
  • post-op analgesia