Pharmacological Behavior Management in Pediatric Dentistry

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29 Questions

What poses a particular risk for infants who have received medications with a long half-life?

Transportation in a car safety seat

When should prolonged observation be considered after sedation?

If the child has an underlying medical condition like OSA

Why might a child with significant obstructive sleep apnea require prolonged observation after sedation?

Due to potential airway problems

What contact information should be provided to all patients and their families?

24-hour telephone number for the practitioner or associates

Why is it important to provide a 24-hour telephone number for the practitioner or associates?

For emergencies or to address concerns

What is the primary objective of pharmacological behavior management in pediatric dentistry?

To manage a child's behavior and anxiety during dental treatment

Which type of pharmacological behavior management involves the use of general anesthesia?

Deep sedation/General anesthesia

What is NOT a part of the pre-sedation/anesthetic examination process in pharmacological behavior management?

Review of past dental records

What should be documented regarding informed consent in pharmacological behavior management?

That appropriate informed consent was obtained

Which classification system is used to assess the physical status of patients before pharmacological behavior management?

American Society of Anesthesiologists (ASA)

What is the main purpose of minimal sedation/anxiolysis in pediatric dentistry?

To provide mild sedation and reduce anxiety levels

What is the goal of conscious sedation in dentistry?

To provide the most comfortable and efficient dental service

Which route of administration is NOT mentioned for conscious sedation in the text?

Topical

What is the potential risk associated with injecting Hydroxyzine HCL IV or subcutaneously?

Tissue necrosis and hemolysis

Which drug is NOT mentioned for conscious sedation in children in the text?

Lorazepam

How long does it take for Hydroxyzine HCL to show clinical effects after oral administration?

15 to 30 minutes

What is the old terminology for minimal sedation according to the text?

"Anxiolysis"

What is the typical onset of action for 3-Chloral hydrate when given orally?

Within 15 to 30 minutes

Which drug should be used with caution in children with a history of asthma, sleep apnea, or a family history of sudden infant death syndrome?

3-Chloral hydrate

What adverse effect is commonly associated with Diazepam administration?

Ataxia

Why is the IV route of Diazepam administration recommended to be a large vein with slow administration?

To avoid vein irritation

What is a characteristic of Nitrous Oxide regarding its color and odor?

Colorless and sweet-smelling

Which pediatric sedative often leads to a period of excitement and irritability before sedation occurs?

Chloral hydrate

What outcome led to the ban of nitrous oxide in Egypt in 2008?

Lung problems resulting from inhalation

According to AAPD in 2013, what negative outcomes have been associated with the use of nitrous oxide greater than 50 percent?

Negative side effects

What is the definition of deep sedation according to the provided text?

Drug-induced loss of consciousness with maintenance of airway independently

Which of the following is listed as an indication for deep sedation according to the text?

Physically or seriously handicapped children

What are some routes of delivery for deep sedation according to the text?

Intravenous and inhalation

Which vital sign is NOT mentioned in the text as part of monitoring during deep sedation?

Blood sugar levels

Explore the types, definitions, objectives, routes, indications, contraindications, and complications of pharmacological behavior management in pediatric dentistry. Learn about different methods and their applications in dental care for children.

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