Equipment for the provision of dental IV sedation Flashcards
What must we do before treatment begins not eh day of IV sedation
- Team brief
- Controlled drug check
- Emergency equipment check
- Patient notes checked
- Equipment checked
What happens at the team brief prior to treatment
Discussion with team about treatment, any problems/issues
or updates
ensure sedation qualified staff are sufficient for safe treatment of the patient
What apps at the controlled drug check prior to treatment
2 qualified staff count the controlled drugs
The amount of the drug should tally with the accuracy sheet and controlled drugs ledger
When should the treatment plan for a patietn undergoing IV sedation be discussed and why
At the pre sedation assessment to avoid undue stress or annuity on the day of treatment
What emergency equipment is checked?
- Emergency trolley
- Oxygen supply
- Emergency suction
What needs to be checked in the patients notes prior to treatment
- PMH
- DH
- Allergy status
- Reason fro sedation
- Radiographs and lab work
What equipment do we have set up for the provision of dental iv sedation
- Tourniquet
- Midazolam 5mg per 5ml ampule
- Filter needle
- Syringe
- safe snap ampule to open midazolam
- sodium chloride for saline flush
- Timer
- Sterile gloves
- Cannula
- Skin prep
- Dressing
- Reversing agent
Name the drug we can use to reverse the effect of midazolam
Flumazenil
When is Flumazenil used
ONLY in an emergency
What is the short life of Flumazenil
20-50mins
What is the half life of midazolam
1.5-2 hours but can be in the body for 24 hours
Should Flumazenil be used to treat an allergic reaction of midazolam
NO it can make the situation worse as Flumazenil is also a benzodiazepine
List the components that make up a 22g vasofix cannula
- Grip needle
- Catheter wings
- Needle
- Safety clip
- Flashback chamber
- Flashback within catheter
- Stopper
- Cannula/ catheter
- Injection port
- valve
