Sedation introduction Flashcards

1
Q

What was the first IV anesthetic?

A

-Pentothal

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2
Q

What is Brevital?

A

-Methahexatol

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3
Q

What did Brevital do?

A

-Made the airways very active resulting in a fair amount of laryngospasms

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4
Q

What is Fentanyl?

A

-Short acting very potent narcotic used for anesthesia

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5
Q

What are part of the new monitoring techniques now?

A

-Cardioscope (now a standard of care in IV sedative scenario)

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6
Q

What is Propofol?

A

-An anesthetic

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7
Q

What is Remifentanyl?

A

-A new narcotic that is ultrafast and ultrashort living (minutes) and is metabolized by the esterases in the blood stream

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8
Q

What is odontophobia?

A

Fear of the dentist

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9
Q

What is Iatrosedation?

A

-Relief of anxiety through the dentist’s actions

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10
Q

What does the dentist do to create iatrosedation?

A
  • Caring and empathy

- Communication and environment creating a bond of trust

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11
Q

What are nondrug psychodedative techniques?

A
  • Hypnosis
  • Acupuncture
  • Music
  • Aroma therapy
  • Lighting
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12
Q

What type of sedation allows the patient to retain ability to independently and continuously maintain airway?

A

-Minimal sedation

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13
Q

What type of sedation is a drug induced depression of consciousness?

A
  • Moderate sedation

- Deep sedation

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14
Q

What type of sedation involves patients that cannot be easily aroused?

A

-Deep sedation

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15
Q

What is a drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation?

A

-General anesthesia

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16
Q

T/F The stages of anesthesia are not distinct, but rather a continuum

A

True

17
Q

What type of onset do you get with oral anesthesia?

A

-Slow

18
Q

What type of latent period do you have with oral anesthesia?

A

-Long

19
Q

T/F Oral anesthesia can be titrated

A

False

-It can not be titrated

20
Q

Can oral anesthetic action be altered once administrated?

A

No

21
Q

What medications can you give sublingually?

A
  • Nitroglycerine

- Triazolam

22
Q

Intranasal anesthesia has a quick onset that is almost as fast as what?

A

-IV anesthesia

23
Q

Can you titrate intranasal meds?

A

-No

24
Q

What are two drugs given intranasally?

A
  • Midazolam

- Sufentanil

25
Q

T/F Transdermal routes of administration are limited for analgesia

A

True

26
Q

What type of administration do you ketamine for?

A

-Intramuscular

27
Q

What type of onset does intramuscular have?

A

-Rapid

28
Q

How long does intramuscular lost for?

A

2-4 hours

29
Q

Can intravenous anesthesia be titrated?

A

-Yes

30
Q

T/F Intravenous anesthesia can produce periods of amnesia

A

True