Behavioral management N2O2 - Rackham Flashcards
What is the key to successful outcomes?
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
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
True
what are the two main goals of the functional inquiry?
to learn about patient and parental concerns
to gather information to enable a reliable estimate of the cooperative ability of the child.
stress that continues over a prolonged period and has lifelong effects is termed what?
toxic stress
T/F early regular dental visits decrease a child’s risk of preventable oral disease
true
training requirements in texas before protective stabilization can be used are either of what two things
post-doc program
or CE course of no less than 8 hours
Protective stabilization (or ANY other sort of restraint) requires ________ ________ from a parent?
informed consent.
protective stabilization is indicated when what?
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
T/F a sedated patient may become uncooperative during treatment
true
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
True
patients can be put in protective stabilization if it allows the dentist to complete full mouth or multiple quadrant dental rehabilitation. T/F
False
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
true
true
true
what is the most frequently used pediatric sedation technique?
Nitrous Oxide administration
within how many minutes of the patient inhaling a fixed concentration of Nitrous oxide is equilibrium reached between gas, blood, and target sites?
3-5minutes
excretion of N2O2 occurs where?
lungs almost exclusively
30% Nitrous Oxide administration is about as effective at analgesia as what dose of Morphine?
10-15mg
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?
- 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
Nitrous concentrations should not exceed what percentage?
What symptoms does the patient experience when it goes above that limit?
50%
nausea vomiting and disorientation
ataxia, giddiness, dysphoria, and increased sleepiness above 60%
Nitrous can be given to patients with asthma without fear of bronchospasm T/F
true
Chronic exposure to nitrous oxide can produce what complications?
neurotoxicity
sexual and reproductive problems (decreased fertility)
hepatotoxicity
renal dysfunction
T/F Nitrous is dependent on psychological reassurance
True
what is the minimum percent oxygen that all Nitrous machines must require?
30%
