Basic Guide to Dental Sedation Nursing

NICOLA ROGERS is a Dental Nurse Tutor for Pre and Post Registration Qualification Training at Bristol Dental Hospital in Bristol, UK. She is a GDC Registered Dental Nurse; has a NEBDN National Certificate in Dental Nursing, Certificate in Dental Sedation Nursing, Oral Health and Dental Radiography; Tutor of the Year 2010 (DDU Educational Awards); and Co-Author of Basic Guide to Maxillofacial Surgery and Post Registration Qualifications Questions and Answers.

How to use this book vii Acknowledgements ix 1 Introduction 1 Definition of conscious sedation 1 Why dental sedation is used 2 Bibliography 4 2 Medico-legal aspects of dental sedation 5 Introduction 5 Recommendations currently in place when providing dental sedation 7 Medico-legal considerations when providing dental sedation 11 Bibliography 18 3 Role of the dental nurse and equipment 19 Introduction 19 Role of the dental nurse 19 Intravenous sedation 21 Inhalation sedation 39 Oral sedation 42 Transmucosal (off-licence) sedation 45 Note 45 Clinical monitoring and equipment used 45 Conclusion 51 Bibliography 62 4 Patient selection 63 Introduction 63 The assessment appointment 63 Medical history 64 Physical examination 64 Dental history 65 Social history 67 Conclusion 67 Bibliography 67 5 Types of sedation 68 Introduction 68 Intravenous sedation 69 Inhalation sedation 82 Oral sedation 109 Bibliography 113 6 Medical emergencies 114 Introduction 114 Prevention of medical emergencies 114 Legal aspects dealing with medical emergencies 116 Dealing with medical emergencies 116 Common medical emergencies 125 Signs and symptoms of medical emergencies 126 Medical emergencies 126 Cardiac emergencies 130 Choking and aspiration 135 Epilepsy 137 Hypoglycaemia 139 Fainting/syncope 140 Note 141 Airway control and ventilation 141 Conclusion 149 Bibliography 153 7 Essential anatomy 155 Introduction 155 The blood 155 The heart 158 The respiratory system 160 The dorsum of the hand and the antecubital fossa 169 Bibliography 172 Index 173