Methods of Administration

Question 1

Pre-med

Answer 1

Medicament used to relieve anxiety before a procedure

Question 2

Advantages of premed

Answer 2

Non invasive
Alleviates anxiety before procedure

Question 3

Disadvantages of premed

Answer 3

Patient dependent
Affects function
Not a titrated dose

Question 4

Examples of premed

Answer 4

Temazepam 10mg/20mg
Diazepam 2mg/5ml elixir

Question 5

Oral sedation types

Answer 5

Transmucosal
Buccal

Question 6

Advantages of oral sedation

Answer 6

Quick acting 10-15 mins
Well tolerated
No needles required for young patients

Question 7

Disadvantages of oral sedation

Answer 7

Not a titrated dose - uncertainty of effect
Longer half life - cannulation advised

Question 8

Advantages of intranasal sedation

Answer 8

Fast onset
Avoids GI tract

Question 9

Disadvantages of intranasal sedation

Answer 9

Not a titrated dose
Can be impaired by mucus secretions

Question 10

Indications for intranasal sedation

Answer 10

Where IV access is not possible
Where N2O is not sufficient

Question 11

Administration of intranasal sedation

Answer 11

10mg/kg A, 0.2mg/kg children
Via droplets or atomised spray

Question 12

Contraindications of intranasal sedation

Answer 12

Where a titrated dose is more appropriate
History of failed nasal cannulation