2 - Special care and conscious sedation Flashcards
1
Q
What barriers are there when treating someone in special care?
A
- communication
- anxiety
- movement
- perception of reality
- previous experience
2
Q
What are examples of congenital movement disorders?
A
- muscular dystrophy
- cerebral palsy
- MS
- parkinsons
- Huntington’s chorea
3
Q
How do learning difficulties impact inhalation sedation?
A
- patient must be able to understand and follow instructions
- must be able to breathe through nose with mouth wide open
4
Q
What are the different routes of conscious sedation?
A
- inhalation
- intravenous
- oral
- transmucosal
5
Q
What are the advantages of inhalation sedation?
A
- useful for anxiety relief
- rapid recovery
- flexible duration
6
Q
What are the disadvantages of inhalation sedation?
A
- nasal hood must remain in place
- less muscle relaxation
- coordination of breathing required
7
Q
What are the advantages of intravenous sedation?
A
- good sedation achieved
- less cooperation needed
- muscle relaxation
8
Q
What are the disadvantages of intravenous sedation?
A
- baseline readings required
- IV cannulation
- assessing sedation level more difficult
- behaviour during recovery
- efficacy of swallowing reduced
9
Q
What drugs can be used for intravenous sedation?
A
- midazolam
- propofol (not licensed for dentist use)
10
Q
What are the advantages of oral or transmucosal sedation?
A
- avoids cannulation
- induction is more pleasant
- better cooperation
- better future behaviour
- works fast
11
Q
What are the disadvantages of oral or transmucosal sedation?
A
- baseline readings required
- bitter taste or stinging
- lag time
- untitrateable
- difficult to monitor level of sedation
- behaviour in recovery
- pharmacy are reluctant to dispense due to high concentration
