Monitoring Flashcards
What is the second appropriate person?
A dental sedation nurse- Who must be trained and experienced in the sedation technique being used.
During sedation the sedation nurse should never…
leave the room
What needs to be monitored during sedation?
Depth of sedation
Respiration
Pulse
Skin colour
Anxiety
Airway
Capillary refill
Why is it important to monitor patient during sedation?
To avoid a medical emergency
What are the 4 scorings of the brietkopf and buttner?
classification of emotional status
1- irritated and awake
2- awake and calm
3- tired and hardly moving
4- drowsy, without reaction but rousable
What are the most important types of communication during sedtion?
Verbal communication
Non verbal communication
When would you discourage talking during sedation?
Inhalation sedation
How may you tell when somebody is sedated?
Reduced eye movement
Drooping eye lids (verills sign)
Loose muscle tone -flat face
Reduced motor co-ordination (eves sign)
What is eves sign?
inability to touch tip of nose
What is verills sign?
Drooping of eyelid- covers half of pupil
How often should document blood pressure/sp02 & pulse during iv sedation?
every 10 minutes
Average pulse rate for an adult?
72bpm
Average pulse rate for a child 8-14?
80bpm
Average pulse rate for a child 4-7?
95bpm
Where is the catotid pulse?
Neck
Where is the Radial pulse?
wrist
Where is the Brachial pulse?
Anti cubital fossa (in front of elbow)
The use of a pulse oximeter during intravenous sedation is excellent to monitor
The cardio vascular and respiratory system of the patient
Oxygen tension is measured in
Kilopascals
If the pulse is required to be taken by the sedation nurse during a patient receiving conscious sedation which location would be selected?
Radial
The strongest pulse is?
Carotid
The medical terminology for a slow pulse
Bradycardia
The medical terminology for a fast pulse
Trachycardia
What is deemed a normal body temperature?
37 Degrees
What is a normal Sp02 range?
94-98%
Under what circumstances may a patient have a Sp02 of below 92%
Medical conditions - COPD
Normal blood pressure?
120/80mm/Hg
When a patient is being treated with IV midazolam for conscious sedation and a restoration, how many dental team members must be present?
3
What does BMI stand for?
Body max index
How does the Pulse Oximeter work?
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
What is the oxygen dissociation curve?
Shows the percentage of the total Haemoglobin saturated with O2
What shape is the oxygen dissociation curve?
Sigmoid
If the Spo2 drops below 93% what happens
Below this level a rapid drop in saturation will occure
If the patients skin turns blue, what could be the issue?
Hypoxia
Obsutucted airway
Respiratory depression
If the patients skin turns grey, what could be the issue?
MI
Cardiac arrest
If the patients skin turns pale and clammy, what could be the issue?
Syncope (fainting)
If the patients skin turns red n flushed, what could be the issue?
Allergic reaction
