Behavioral management N2O2 - Rackham

Question 1

What is the key to successful outcomes?

Answer 1

an APPROPRIATE ASSESSMENT OF THE CHILD AND FAMILY to prepare them to participate actively in a positive manner in the child’s oral health care

Question 2

T/F it is good to find out what kind of things the patient has been through both dentally and otherwise in their life to better understand them

Answer 2

True

Question 3

what are the two main goals of the functional inquiry?

Answer 3

to learn about patient and parental concerns

to gather information to enable a reliable estimate of the cooperative ability of the child.

Question 4

stress that continues over a prolonged period and has lifelong effects is termed what?

Answer 4

toxic stress

Question 5

T/F early regular dental visits decrease a child’s risk of preventable oral disease

Answer 5

true

Question 6

training requirements in texas before protective stabilization can be used are either of what two things

Answer 6

post-doc program

or CE course of no less than 8 hours

Question 7

Protective stabilization (or ANY other sort of restraint) requires ________ ________ from a parent?

Answer 7

informed consent.

Question 8

protective stabilization is indicated when what?

Answer 8

a patient requires immediate diagnosis and/or urgent limited treatment and cannot cooperate

emergent care is needed and uncontrolled movements risk safety of the patient, staff, dentist, or parent without the use of protective stabilization

a cooperative patient becomes uncooperative mid-procedure

Question 9

T/F a sedated patient may become uncooperative during treatment

Answer 9

true

Question 10

patients with a history of physical or psychological trauma due to restraint should not be put in a protective stabilization situation unless no other alternatives are available. T/F

Answer 10

True

Question 11

patients can be put in protective stabilization if it allows the dentist to complete full mouth or multiple quadrant dental rehabilitation. T/F

Answer 11

False

Question 12

Nitrous oxide sedation can be used to enhance communication and patient cooperation T/F

reduce gagging T/F

potentiate the effects of sedatives T/F

Answer 12

true

true

true

Question 13

what is the most frequently used pediatric sedation technique?

Answer 13

Nitrous Oxide administration

Question 14

within how many minutes of the patient inhaling a fixed concentration of Nitrous oxide is equilibrium reached between gas, blood, and target sites?

Answer 14

3-5minutes

Question 15

excretion of N2O2 occurs where?

Answer 15

lungs almost exclusively

Question 16

30% Nitrous Oxide administration is about as effective at analgesia as what dose of Morphine?

Answer 16

10-15mg

Question 17

What is the subcutaneous dose for Morphine? What dose should it not exceed?

What is the IV dose for Morphine? It should not exceed what dose?

Answer 17

0. 1-0.2mg per kg as needed. Do not exceed 15 mg

0. 05-0.1mg per kg administered slowly. do not exceed 10 mg

Question 18

Nitrous concentrations should not exceed what percentage?

What symptoms does the patient experience when it goes above that limit?

Answer 18

50%

nausea vomiting and disorientation

ataxia, giddiness, dysphoria, and increased sleepiness above 60%

Question 19

Nitrous can be given to patients with asthma without fear of bronchospasm T/F

Answer 19

true

Question 20

Chronic exposure to nitrous oxide can produce what complications?

Answer 20

neurotoxicity

sexual and reproductive problems (decreased fertility)

hepatotoxicity

renal dysfunction

Question 21

T/F Nitrous is dependent on psychological reassurance

Answer 21

True

Question 22

what is the minimum percent oxygen that all Nitrous machines must require?

Answer 22

30%