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5th yr- AMS > Pre sedation assessment > Flashcards

Pre sedation assessment Flashcards

1
Q

What is the aim of a pre sedation assessment

A

If the patient is suitable for sedation and what the course of treatment will be

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2
Q

Where do we carry out the pre sedation assessments

A

Aim to carry out in an area away from the dental surgery

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3
Q

What do we aim to find out in a pre sedation assessment

A
  1. Reason for sedation
  2. Expectation of sedation
  3. Fitness for sedation
  4. Likely suitability
  5. social circumstances
  6. What causes their anxiety
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4
Q

What are the different components of a pre sedation assessment

A
  1. Medical assessment
  2. Social assessment
  3. Dental assessment
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5
Q

What does the medical assessment for a pre sedation assessment include

A
  1. Questionnaire
  2. General examination
  3. Pulse, blood pressure, O2 saturation
  4. BMI
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6
Q

Is a dental assessment always possible during the pre sedation assessment

A

Not always but we can try to take extra oral radiographs

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7
Q

What is the cut off for sedation at the LDI

A

Will not sedate any outpatient with a BMI over 35

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8
Q

After assessing a patient medical and social history what do we aim to come to

A

An ASA classification score

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9
Q

What does the ASA classification stand for

A

American society for anaesthesiology

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10
Q

How is an ASA classification score presented

A

As a number 1-6

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11
Q

What does a 1 on the ASA classification scale represent

A

A normal healthy patient

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12
Q

What does a 2 on the ASA classification scale represent

A

A patient with mild systemic disease eg well controlled diabetes/epilepsy, mild asthma

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13
Q

What does a 3 on the ASA classification scale represent

A

A patient with severe systemic disease

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14
Q

What does a 4 on the ASA classification scale represent

A

A patient with severe systemic disease that is a constant threat to life (unstable angina)

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15
Q

What does a 5 on the ASA classification scale represent

A

A moribund patient not expected to survive without the operation

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16
Q

What does a 6 on the ASA classification scale represent

A

A declared brain dead patient who’s organs are being removed for donor purposes

17
Q

What is the ASA of a current smoker, social drinker or patient with bMI of 30-40

A

ASA ranking of 2

18
Q

What do we look t when assessing a patients social hisogtry

A
  1. Insight into patients current work situation
  2. Home circumstances and caring responsibilities
  3. Does patient have an appropriate escort for at least 24 hours post op
19
Q

What do we decide following a pre sedation assessment

A
  1. Whether sedation is indicated
  2. What medical or other problems have to be overcome and how
  3. Which treatment to be performed at which visit eg quadrant dentistry
20
Q

What do we need to advise the patient about following a pre sedation assessment

A
  1. Effects of sedation
  2. Sedation is not GA
  3. Nature and duration of the effects of sedation
  4. Techniques and equipment
  5. Need for escort and transport
  6. Feeding and medication
  7. No alcohol for at least 24 hours
  8. Avoid social media and online shopping as they may forget what they have done
  9. Have a light meal beforehand
21
Q

How long do the effects of sedation linger

A

Around 24 hours

22
Q

What do we let the patient do during a pre sedation assessment

A
  1. Ask any questions
  2. Meet the staff
  3. See the room
  4. see equipment that thy think might frighten them if they wish
  5. Sign the consent document
23
Q

What do we need to give in written form to the patient during the pre sedation assessment

A
  1. Pre op instruction
  2. Post op instructions
  3. Appointment if Indicated
24
Q

What do we check on the day of the sedation appt

A

Check for:
1. Health changes
2. Escort and transport
3. Preparation eg no alcohol or recreational drugs for 24 hrs prior
4. Consent

5th yr- AMS (11 decks)

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