IV sedation assessment

Question 1

What is the sedation assessment

Answer 1

A full assessment that confirms the treatment required, whether sedation is needed and the preferred technique

Sedation assessment also involves informed consent and the provision of information to the patient which aims to ensure treatment and aftercare are as safe as possible

Question 2

What do you cover in an ASSESSMENT

Answer 2

History
-Social
-Dental
-Medical
Examination
-General
-Oral
-Vital signs
Treatment Plan
Consent
Information for patient and escort

Question 3

Whats important to include in history

Answer 3

General or specific dental fear

Previous sedation / GA- Any problems?

Symptoms of there dental problem (acute/chronic)

Question 4

What increases the sedative affect of Midazolam

Answer 4

Almost all drugs

-Alcohol
-Opiods
-Erythromycin
-Antidepressants, Antihistamines, Antipsychotics,
-Recreational drugs

Question 5

In the dental hospital what ASA classifications do you see

Answer 5

Nothing 4 and above

Question 6

With the ASA classifications where can the different levels be treated

Answer 6

ASA I May be treated in primary care

ASA II May be treated in primary care

ASA III Should be secondary care

ASA IV Must be treated in secondary care

Question 7

What is a pharmacodynamic interaction

Answer 7

Interactions between drugs which have similar or antagonistic pharmacological effects

Predictable

Question 8

What is a pharmacokinetic interaction

Answer 8

One drug alters the absorption, distribution, metabolism or excretion of another, thereby increasing or reducing the amount of drug available to produce its pharmacological effects.

Not predictable

Question 9

What vital signs do you need to record

Answer 9

HR
BP
Oxygen saturation
BMI