Pain And Anxiety Flashcards
Which of the following methods of anxiety control results in a complete loss of feeling and loss of the reflexes which normally protect our such as the gag reflex and coughing General anaesthesia Oral sedation Intravenous sedation Inhalation
General anaesthesia
General Anastasia can be achieved by the delivery of the anaesthetic by the use of nasal nasal mask however some patience especially those who have special needs sometimes cannot tolerate the mask so different techniques can be used which involves the delivery of the anaesthetic directly into the lungs buy a tube what is this called
Endotracheal anasethesia
Conscious sedation is a type of sedation with the use of drugs induced state of relaxation which of the following is a conscious technique General Local Hypnoses Inhalation
Inhalation
Which of the following conscious sedation techniques involves a drug being injected into a patients vein Oral sedation Intravenous sedatition Inhalation sedation Hypnosis
Intravenous sedation
What is not an advantage of conscious sedation
They do not need to fast beforehand
They remain conscious and co operative
The reflexes of the airway are maintained
There is no need for separate anaesthetist to be present
These are all advantages of conscious sedation
All are advantages of all forms of conscious sedation
Before sedation is used consent must be gained from a patient . What type of content is needed for the procedure ? Assumed consent Verbal Written Consent from third party General consent
Written consent
A suitability trained dentist can administer the sedation and provide the dental treatment as well. The dentist must have an appropriately trained person present throughout the procedure to assist and act as a chaperone , who can the second person be ?
Trainee dental nurse
Nebdn or nvq. qualified nurse
Nebdn qualified nerds with a certificate in sedation
Any person
Second person is another dentist
A nedbn or nvq qualified nurse
Oral sedation is achieved when a patient takes one tablet the night before their appointment . Another tablet is then taken one hour before treatment begins . These tablets belong to a group of drugs called anxiolytic drugs which of the following is an anxiolytic drug ? Fluconazole Erythromycin Clindamycin Diazepam
Diazepam
What is the safest and best method of sedation and anxiety control for children under 16 years old ? Oral Inhalation Intravenous Hypnosis Acupuncture
Inhalation sedation
Which gas is unused for inhalation sedation
Nitrous oxide and oxygen
What colour cylinder is nitrous oxide Light blue black and white Red Green
Light blue
At the start of Sebastian how much oxygen is given ? 90% 95% 80% 85% 100%
100% oxygen then flow adjusted and 10% increment if nitrous oxide and then it is added in 5% increments
After the inhalation procedure and dental treatment have both finished the patient is given 100% oxygen again , how long is the patient given 100% oxygen for after the procedure is finished ? 20 minuates 1 minuates 30 minuates 2 minuates 30 seconds
2 minuates
Following a inhalation sedation appointment , which of the following post op advice would be appropriate to give to a pAtinet
D not operate machenary
Do not drink
Do not drive
Do not sign legal paperwork
For the safe delivery of gasses during inhalation sedation a mach8ne is used to control the amount given what is this called ?
Scavenger system
Compared to inhalation sedation , intravenous sedation provides a much deeper level of sedation . It involves the injection of a drug into the patients vein . Which of the following drugs could be used as an intravenous sedation drug ?
Midazolam also know as hypnovel
If an accidental overdose of an Iv sedation drug is used an antidote drug must be used which one is the antidote ? Fluconazole Nystatin Flumazenil Amphotericin Micronazole
Flumazenil or known as anexate is the antidote
What is the name of the machine which monitors a patients pulse and oxygen concentration in the blood ?
Pulse oximeter
The clinical name for the lack of oxygen is called called hypoxia and it is early stages a patient will dispalay a blue completion. What is the name given to this bluish discolouration on the skin Asthma Hypotension Hypertension Cyanosis Hypoglycaemia
Cyanosis
During today’s and procedures the dental nurse has several duties which of the following duties applies to sedation but not inhalation sedation?
Check that all pre operative instructions have been followed
Having monoritiring and resonation equipment ready and working
Monitor patients pulse , skin colour , resparation rate
Immobolise arm ready for venepuncture
Inform the dentist of any changes in the patients condition
Immobilise the patients arm ready for venepuncture
During sedation procedures the dental nurse has several duties one of them is to monitor the vital signs of the pt which one is not a vital sign ? Breathing rate and depth Skin colour Pulse and quality Blood pressure All of them
all of them are vital signs that need to be monitored by the dental nurse
What is not an advantage of inhalation sedation Recovery rapid Light meal can be had few hours before Safest methods Good access as no hood Best method for children
We do not have good access as there is a hood on the patient face this is an disadvantage of inhalation sedation
An advantage of iv sedation is that the patient will not remember the procedure no matter how difficult it turns out to be. This will hopefully gain a patients confidence and will not deter them from attending the surgery again .what is the correct term for this memory loss? Amnesia Analgesia Anaesthesia Anaemia Aneurysm
Amnesia is the correct term for the memory loss
One of the pre op instructions given to the patients prior to conscious sedation is for them not to wear nail varnish , why is it important that patients are asked not to wear nail varnish for a sedation appointment ?
It will effect the pulse oximeter readings
One of the duties of the dental nurse during any sedatition procedure is to be prepared and to be able to assist should a medical emergency arise . If a patient stopped breathing due to a blockage of the airway either by the tounge or a forgin body which of the following signs would the patient be displaying ? Rise in blood pressure and pulse rate Blue and congested face Clammy skin Snoring and wheezing sounds All signs
These are all signs of a blockage
Patients may prefer to obtain anxiety control without the administration of drugs. What is the name of the tequnique based on chinease medic I e in which needles are inserted into a patients skin to reduce anxiety and produce anaesthesia?
Acupuncture
