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Dental Nurse Sedation Post Qual Exam > Monitoring > Flashcards

Monitoring Flashcards

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1
Q

What is the second appropriate person?

A

A dental sedation nurse- Who must be trained and experienced in the sedation technique being used.

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2
Q

During sedation the sedation nurse should never…

A

leave the room

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3
Q

What needs to be monitored during sedation?

A

Depth of sedation
Respiration
Pulse
Skin colour
Anxiety
Airway
Capillary refill

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4
Q

Why is it important to monitor patient during sedation?

A

To avoid a medical emergency

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5
Q

What are the 4 scorings of the brietkopf and buttner?

A

classification of emotional status
1- irritated and awake
2- awake and calm
3- tired and hardly moving
4- drowsy, without reaction but rousable

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6
Q

What are the most important types of communication during sedtion?

A

Verbal communication
Non verbal communication

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7
Q

When would you discourage talking during sedation?

A

Inhalation sedation

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8
Q

How may you tell when somebody is sedated?

A

Reduced eye movement
Drooping eye lids (verills sign)
Loose muscle tone -flat face
Reduced motor co-ordination (eves sign)

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9
Q

What is eves sign?

A

inability to touch tip of nose

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10
Q

What is verills sign?

A

Drooping of eyelid- covers half of pupil

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11
Q

How often should document blood pressure/sp02 & pulse during iv sedation?

A

every 10 minutes

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12
Q

Average pulse rate for an adult?

A

72bpm

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13
Q

Average pulse rate for a child 8-14?

A

80bpm

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14
Q

Average pulse rate for a child 4-7?

A

95bpm

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15
Q

Where is the catotid pulse?

A

Neck

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16
Q

Where is the Radial pulse?

A

wrist

17
Q

Where is the Brachial pulse?

A

Anti cubital fossa (in front of elbow)

18
Q

The use of a pulse oximeter during intravenous sedation is excellent to monitor

A

The cardio vascular and respiratory system of the patient

19
Q

Oxygen tension is measured in

A

Kilopascals

20
Q

If the pulse is required to be taken by the sedation nurse during a patient receiving conscious sedation which location would be selected?

A

Radial

21
Q

The strongest pulse is?

A

Carotid

22
Q

The medical terminology for a slow pulse

A

Bradycardia

23
Q

The medical terminology for a fast pulse

A

Trachycardia

24
Q

What is deemed a normal body temperature?

A

37 Degrees

25
Q

What is a normal Sp02 range?

A

94-98%

26
Q

Under what circumstances may a patient have a Sp02 of below 92%

A

Medical conditions - COPD

27
Q

Normal blood pressure?

A

120/80mm/Hg

28
Q

When a patient is being treated with IV midazolam for conscious sedation and a restoration, how many dental team members must be present?

A

3

29
Q

What does BMI stand for?

A

Body max index

30
Q

How does the Pulse Oximeter work?

A

Projects red and intra red light through the nail bed of the finger whilst the photo sensor is positioned on the opposite side of the probe

31
Q

What is the oxygen dissociation curve?

A

Shows the percentage of the total Haemoglobin saturated with O2

32
Q

What shape is the oxygen dissociation curve?

A

Sigmoid

33
Q

If the Spo2 drops below 93% what happens

A

Below this level a rapid drop in saturation will occure

34
Q

If the patients skin turns blue, what could be the issue?

A

Hypoxia
Obsutucted airway
Respiratory depression

35
Q

If the patients skin turns grey, what could be the issue?

A

MI
Cardiac arrest

36
Q

If the patients skin turns pale and clammy, what could be the issue?

A

Syncope (fainting)

37
Q

If the patients skin turns red n flushed, what could be the issue?

A

Allergic reaction

Dental Nurse Sedation Post Qual Exam (11 decks)

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