Pain & Anxiety Control

Question 1

conscious sedation

Answer 1

state of depression of CNS enabling tx to be carried out but during which verbal contact with pt remains throughout & should carry a margin of safety wide enough to render unintended loss of consciousness unlikely

Question 2

medical contraindications to sedation

Answer 2

• severe / uncontrolled systemic disease
• severe mental / physical disability
• severe psychiatric problems
• narcolepsy
• hypothyroidism

Question 3

ASA classifications we can treat

Answer 3

1 - a normal healthy pt
2. pt with mild systemic disease
need anaesthetist to do >3

Question 4

medical contraindications specific to inhalation sedation

Answer 4

blocked nasal airway
COPD
pregnancy

Question 5

specific medical contraindications to IV sedation

Answer 5

intracranial pathology
COPD
myasthenia gravis
hepatic insufficiency
pregnancy & lactation

Question 6

dental contraindications to sedation

Answer 6

procedure too difficult for LA alone
procedure too long
spreading infection; limits LA & airway threatening
procedure to traumatic

Question 7

adv of sedation

Answer 7

decrease dentist & staff stress
decrease pt stress
fewer medical incidents
more productive appts

Question 8

disadv of sedation

Answer 8

training required
euuipment required
recovery time & aftercare