Assessment for IV Sedation

Question 1

what is done at sedation assessment

Answer 1

informed consent and provision of information the patient
full assessment

Question 2

what is assessed at sedation assessment

Answer 2

physiology, pathology and psychology of patient

Question 3

what social history questions are asked at sedation assessment

Answer 3

nature of fear
phobia v anxiety
general v specific
anxiety questionnaire
occupation
escort
alcohol
responsibilities
transport
age

Question 4

what dental history questions are asked at sedation assessment

Answer 4

referral source
previous bad experience
previous sedation/GA
symptoms
proposed procedure

Question 5

what drugs increase effects of midazolam

Answer 5

alcohol
opioids
erythromycin
antidepressants
recreational drugs

Question 6

what questions are important to ask asthmatics

Answer 6

what drugs they take and how often
have they been hospitalised
is it exacerbated by stress

Question 7

what is pharmacodynamics

Answer 7

interactions between drugs which have similar or antagonistic pharmacological effects or side effects
predictable

Question 8

what is pharmacokinetics

Answer 8

one drug alters the absorption, distribution, metabolism or excretion of another which increases or reduces the amount of drug available
not predictable

Question 9

what is examined during a general exam

Answer 9

anxiety
discomfort
eye contact
speech
vital signs

Question 10

what vital signs are assessed

Answer 10

heart rate
blood pressure
oxygen sats
BMI

Question 11

what is the BMI cut off for sedation

Answer 11

35

Question 12

how do you treatment plan for sedation

Answer 12

take account of all information
discuss with patient and family
avoid overcomplicated treatment
deal with misconceptions