Oral Sedation Flashcards

1
Q

What is the definition of minimal sedation?

A
  1. Independently maintain airway.

2. Respond normally to stimulation/verbal commands.

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2
Q

What is the MRD of Triazolam?

A

.5 mg

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3
Q

What is incremental dosing?

A

Administration of multiple doses of a drug, but not to exceed MRD.

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4
Q

What is supplemental dosing?

A

Addition of dose to initial dose. But must not exceed one-half of initial dose and should not be administered until dentist has determined half-life as passed. TOTAL dose must not exceed 1.5 X MRD that day.

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5
Q

WHat is moderate sedation?

A

Patients respond purposefully to verbal commands.

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6
Q

What is titration?

A

Administeration of incremental doses of a drug, but only applies to moderate sedation or greater.

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7
Q

What is deep sedation?

A

Cannot be easily aroused.

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8
Q

What is general anesthesia?

A

Not arousable.

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9
Q

What are the stages of general anesthesia?

A
  1. Analgesia
  2. Excitement
  3. Surgical
  4. Medullary depression
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10
Q

What are the planes of surgical anesthesia?

A
I= Rolling eyeballs
II= Loss of corneal/laryngeal reflexes 
III= Pupil starts dilating and light reflex is lost
IV= Intercostal paralysis, dilated pupil, abdominal respiration.
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11
Q

What is the enteral route of administration?

A

Any agent that is absorbed through the GI tract or oral mucosa.

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12
Q

What is parenteral route of administration?

A

Drug bypasses gastrointestinal tract. Intramuscular, Intravenous, submucosal…

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13
Q

What is transdermal route of administration?

A

Drug is administered by patch through the skin.

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14
Q

What is the half-life of Triazolam?

A

2-4 hrs.

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15
Q

at what wavelength/light does deoxy Hb absorb?

A

600/red light

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16
Q

Where is triazolam metabolized?

A

Liver

17
Q

What is the reversal agent for triazolam? How is it administered?

A

Flumazonil. IV is best .2 mg every minute until consciousness, or until max 1 mg dose.