Monitoring

Question 1

What is the second appropriate person?

Answer 1

A dental sedation nurse- Who must be trained and experienced in the sedation technique being used.

Question 2

During sedation the sedation nurse should never…

Answer 2

leave the room

Question 3

What needs to be monitored during sedation?

Answer 3

Depth of sedation
Respiration
Pulse
Skin colour
Anxiety
Airway
Capillary refill

Question 4

Why is it important to monitor patient during sedation?

Answer 4

To avoid a medical emergency

Question 5

What are the 4 scorings of the brietkopf and buttner?

Answer 5

classification of emotional status
1- irritated and awake
2- awake and calm
3- tired and hardly moving
4- drowsy, without reaction but rousable

Question 6

What are the most important types of communication during sedtion?

Answer 6

Verbal communication
Non verbal communication

Question 7

When would you discourage talking during sedation?

Answer 7

Inhalation sedation

Question 8

How may you tell when somebody is sedated?

Answer 8

Reduced eye movement
Drooping eye lids (verills sign)
Loose muscle tone -flat face
Reduced motor co-ordination (eves sign)

Question 9

What is eves sign?

Answer 9

inability to touch tip of nose

Question 10

What is verills sign?

Answer 10

Drooping of eyelid- covers half of pupil

Question 11

How often should document blood pressure/sp02 & pulse during iv sedation?

Answer 11

every 10 minutes

Question 12

Average pulse rate for an adult?

Answer 12

72bpm

Question 13

Average pulse rate for a child 8-14?

Answer 13

80bpm

Question 14

Average pulse rate for a child 4-7?

Answer 14

95bpm

Question 15

Where is the catotid pulse?

Answer 15

Neck

Question 16

Where is the Radial pulse?

Answer 16

wrist

Question 17

Where is the Brachial pulse?

Answer 17

Anti cubital fossa (in front of elbow)

Question 18

The use of a pulse oximeter during intravenous sedation is excellent to monitor

Answer 18

The cardio vascular and respiratory system of the patient

Question 19

Oxygen tension is measured in

Answer 19

Kilopascals

Question 20

If the pulse is required to be taken by the sedation nurse during a patient receiving conscious sedation which location would be selected?

Answer 20

Radial

Question 21

The strongest pulse is?

Answer 21

Carotid

Question 22

The medical terminology for a slow pulse

Answer 22

Bradycardia

Question 23

The medical terminology for a fast pulse

Answer 23

Trachycardia

Question 24

What is deemed a normal body temperature?

Answer 24

37 Degrees

Question 25

What is a normal Sp02 range?

Answer 25

94-98%

Question 26

Under what circumstances may a patient have a Sp02 of below 92%

Answer 26

Medical conditions - COPD

Question 27

Normal blood pressure?

Answer 27

120/80mm/Hg

Question 28

When a patient is being treated with IV midazolam for conscious sedation and a restoration, how many dental team members must be present?

Answer 28

3

Question 29

What does BMI stand for?

Answer 29

Body max index

Question 30

How does the Pulse Oximeter work?

Answer 30

Projects red and intra red light through the nail bed of the finger whilst the photo sensor is positioned on the opposite side of the probe

Question 31

What is the oxygen dissociation curve?

Answer 31

Shows the percentage of the total Haemoglobin saturated with O2

Question 32

What shape is the oxygen dissociation curve?

Answer 32

Sigmoid

Question 33

If the Spo2 drops below 93% what happens

Answer 33

Below this level a rapid drop in saturation will occure

Question 34

If the patients skin turns blue, what could be the issue?

Answer 34

Hypoxia Obsutucted airway Respiratory depression

Question 35

If the patients skin turns grey, what could be the issue?

Answer 35

MI Cardiac arrest

Question 36

If the patients skin turns pale and clammy, what could be the issue?

Answer 36

Syncope (fainting)

Question 37

If the patients skin turns red n flushed, what could be the issue?

Answer 37

Allergic reaction