IV sedation assessment Flashcards
What is the sedation assessment
A full assessment that confirms the treatment required, whether sedation is needed and the preferred technique
Sedation assessment also involves informed consent and the provision of information to the patient which aims to ensure treatment and aftercare are as safe as possible
What do you cover in an ASSESSMENT
History
-Social
-Dental
-Medical
Examination
-General
-Oral
-Vital signs
Treatment Plan
Consent
Information for patient and escort
Whats important to include in history
General or specific dental fear
Previous sedation / GA- Any problems?
Symptoms of there dental problem (acute/chronic)
What increases the sedative affect of Midazolam
Almost all drugs
-Alcohol
-Opiods
-Erythromycin
-Antidepressants, Antihistamines, Antipsychotics,
-Recreational drugs
In the dental hospital what ASA classifications do you see
Nothing 4 and above
With the ASA classifications where can the different levels be treated
ASA I May be treated in primary care
ASA II May be treated in primary care
ASA III Should be secondary care
ASA IV Must be treated in secondary care
What is a pharmacodynamic interaction
Interactions between drugs which have similar or antagonistic pharmacological effects
Predictable
What is a pharmacokinetic interaction
One drug alters the absorption, distribution, metabolism or excretion of another, thereby increasing or reducing the amount of drug available to produce its pharmacological effects.
Not predictable
What vital signs do you need to record
HR
BP
Oxygen saturation
BMI