Term
|
Definition
| oral sedation with ONE agent not exceeding MRD and no loss of protective reflexes |
|
|
Term
|
Definition
| includes oral sedation and/or intravenous sedation. minimal effect on protective reflexes, andairway not effected |
|
|
Term
|
Definition
| partial loss of protected reflexes and airway can be affected |
|
|
Term
|
Definition
| loss of all protective reflexes and airway is affected (intubation) |
|
|
Term
|
Definition
inhibit GABA reuptake
wide margin of safety
safe for heart
rapidly absorbed
half lives 1.5-70 |
|
|
Term
|
Definition
no active metabolites and rapid uptake
half life 8-12 hours
veru low side effects, good antianixety
dental dose-1-.5 hs 1 hr prior |
|
|
Term
|
Definition
short half life 2-3 hr
anterograde amnesia
denal dose .25-.5 1 hr piror |
|
|
Term
| ADA MRD sedation guidelines |
|
Definition
| you can give MRD and ONE supplemental dose not to exceed one half life of the inital dose given THE DENTIST HAS DET THE CLINICAL HALF LIFE HAS EXPIREd of initiatl dose must know half lives |
|
|
Term
|
Definition
only given IV and oral liquid half life 2-4 hrs
profound amneisa |
|
|
Term
|
Definition
greatest vasodilation
ester
potency and tox 1
9.1
.1hr
no pulpal |
|
|
Term
|
Definition
amide
potency tox 2
7.9
1.6 hrs
2.3 min |
|
|
Term
|
Definition
amide
potency 2
7.6
LEAST VASODILATION |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
1-2 hrs
should NOT be used with other narcotics
oral 15-20 mg |
|
|
Term
| what can be given to reverse benzodiazpenes? |
|
Definition
|
|
Term
|
Definition
Zolpidem-ambien
zaleplon-sonata
rapid onset of effect and short duration of action 30=60 min and 4 hrs
non benzo or barb |
|
|
Term
| ambien (zolpidem tartrate) |
|
Definition
gaba, empty stomac, half life 2-2.6 hours
dental dose-5-10 mg .5 hr pripr |
|
|
Term
|
Definition
5-15 mg
1.5 hr half life
excellent placesment
reversible, no active metabolites
add No prn |
|
|
Term
|
Definition
| promethazine-phenergan (dd 20-50 mg 1 hr prior) |
|
|
Term
| diffusion hypoxia (Fink principle) |
|
Definition
| when recovering from N20, large amounts get dissolved in body tissue and p02 decreases leading to hypoxia, prevent this by increasing fractional inspired O2 when recovering |
|
|
Term
|
Definition
protocol
half life 3-7 hrs
dose-10-50mg
no amnesia, non reversible |
|
|
Term
| guedel's staging of anesethia STAGE 1 |
|
Definition
analgesia/sedation
MUST keep orally sedated patients in this stage
NO airway compromise, altered perception to pain can repsond to verbal |
|
|
Term
|
Definition
delirum/excitement
once get to stage 2 slippery slope |
|
|
Term
|
Definition
surgical anestheia
lose potective reflexes and or ability to maintain an airway |
|
|
Term
|
Definition
| NNOT GOODmedullary paralysis/death |
|
|
Term
|
Definition
GOLD standard for measure
non invasive clip that goes over finger
measures oxy blood in circulation
light monitor red
should NOT be the only thing used |
|
|
Term
|
Definition
opoid
non reversible
resp depressants
doesnt diminsh pain
should only be used if benzos inefective |
|
|
Term
|
Definition
aquachloral or nortec
trichloroethanol -CNS depressant
500-1000 mg
poor choice |
|
|
Term
|
Definition
chloral hydrate (LD50/ED50) parition c
BADoefficient 2-4 want a larger one |
|
|
Term
|
Definition
| Desflurane and sevoflurane because lower blood gas coeffcient--easier doesnt have to staurate blood first before it can get to tissue, .42 and |
|
|
Term
|
Definition
was the gold standard.
blood gas coeff 2.54 (High) so slow induction
60-80 elim thru lungs
metabolite trifluroacetic acid
MAC .77
side effects-decreased BP and Hr doesnt affect systemic circulation
|
|
|
Term
|
Definition
| to reverse maligant hyperthermia (genetic) |
|
|
Term
| nitrous oxide on Cardiac output and ventilation |
|
Definition
*little affect on myocardial contractility because its offset by sympathetic neurons
*produces a dose-related increase in respiratory rate that offsets a mild scresse in tidal vol
other anesethtics decrease ventilation but Nirtous helps offet |
|
|
Term
|
Definition
|
|
Term
|
Definition
| workhorse in dentistry, benzo |
|
|
Term
|
Definition
blood:gas coefficient .47
MAC 104%
99.5% pure and anhyrous
70% max amt |
|
|
Term
|
Definition
| lidocaine 2.5% and prilocaine 2.5% |
|
|
Term
|
Definition
| shortest half life 1-2 hours |
|
|
