Module 2 Flashcards

1
Q

what is a technique of communication between the dentist and the patient that creates a bond of trust and confidence

A

iatrosedation

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2
Q

what are nondrug psychosedative techniques

A
  • hypnosis
  • acupuncture
  • audioanalgesia
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3
Q

what are the main routes of drug administration in dentistry

A
  • oral
  • topical
  • subcutaneous
  • inhalation
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4
Q

what is a minimally depressed level of consciousness that retains the patient’s ability to independently and continuously maintain an airway and respond appropriately to physical stimulation or verbal command

A

minimal sedation

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5
Q

what is moderately impaired in minimal sedation

A

cognitive function & coordination

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6
Q

what is unaffected in minimal sedation

A

ventilatory and cardiovascular functions

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7
Q

drug(s) and /or techniques used should carry a margin of safety wide enough to ___

A

never render unintended loss of consciousness

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8
Q

what is the appropriate initial dose of a single enteral drug in the minimal sedation of adults

A

no more than the maximum recommended dose of a drug that can be prescribed for unmonitored home use

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9
Q

what is a drug induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation

A

moderate sedation

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10
Q

are interventions required to maintain a patent airway in moderate sedation

A

no - spontaneous ventilation is adequate

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11
Q

what functions are usually maintained in moderate sedation

A

cardiovascular

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12
Q

drug(s) and/or techniques used should carry a margin of safety wide enough to ___

A

render unintended loss of consciousness unlikely

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13
Q

what may result in a greater alteration of the state of consciousness than is the intent of the dentist

A

repeated dosing of an agent before the effects of previous dosing can be fully appreciated

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14
Q

what is a drug induced depression of consciousness during which patients cannot easily be aroused, but respond purposefully following repeated or painful stimulation

A

deep sedation

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15
Q

what function may be impaired in deep sedation

A

the ability to independently maintain ventilatory function

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16
Q

what function is usually maintained during deep sedation

A

cardiovascular function

17
Q

patients may require assistance in ____, and spontaneous ventilation may be ___

A
  • maintaining a patent airway
  • inadequate
18
Q

what is a drug induced loss of consciousness during which patients are not arousable, even by painful stimulation

A

general anesthesia

19
Q

what is often impaired during general anesthesia

A

the ability to independently maintain ventilatory functions

20
Q

patients often require assistance in ___, and ___ may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function

A
  • maintaining a patent airway
  • positive pressure ventilation
21
Q

what functions may be impaired in general anesthesia

A

cardiovascular

22
Q

where does conscious sedation cross to unconscious sedation

A

between IV and general anesthesia

23
Q

what regulates the level of legal sedation a dentist can perform

A

the board of dentistry in the state in which one is licensed

24
Q

what kind of sedation is allowed in most states without any additional training

A

minimal sedation

25
what may a licensed dentist administer in Kentucky without a permit
minimal enteral sedation
26
In Kentucky, nitrous oxide can be combined with an oral medication, but "the level of sedation shall be maintained at the level of ___ sedation"
minimal
27
when is patient monitoring required
any level of sedation beyond minimal
28
what are examples of monitoring
- blood pressure (every 5 minutes in parenteral moderate or greater) - ECG - pulse oximetry - temperature
29
what is the most effective and most popular drug for anxiety management in dentistry
oral benzodiazepines
30
what will dosages vary based on
- drug - age - medical history - level of anxiety
31
what must a patient have if oral sedation with benzodiazepines occurs
an escort (no driving) and staff escort to and from dental chair
32
what are the most common benzodiazepines used in dentistry
diazepam & triazolam
33
what are the most commonly used IV sedation drugs in dentistry and medicine
diazepam (valium) & midazolam (versed)
34
IV sedation with benzodiazepines normally has little significant effect on ___ or __ systems when recommended doses are used via recommended techniques
- cardiovascular - respiratory
35
what are diazepam and midazolam good choices for
moderate IV sedation for procedures 60 minutes or less
36
why is midazolam favored over diazepam
- amnesic qualities - lack of rebound effect