Podcast
Questions and Answers
What is the defining characteristic of a monitor as opposed to an instrument?
What is the defining characteristic of a monitor as opposed to an instrument?
- It measures the central nervous system
- It measures physiologic functions
- It delivers an audible or visual warning when the measured function falls outside predetermined parameters (correct)
- It is noninvasive
Which of the following is NOT a requirement of the ideal monitoring device according to the text?
Which of the following is NOT a requirement of the ideal monitoring device according to the text?
- Highly technical (correct)
- Reliable
- Stable
- Easily integrated with other monitoring equipment
Which physiologic functions are typically measured by monitoring devices according to the text?
Which physiologic functions are typically measured by monitoring devices according to the text?
- Immune system, Digestive system, Skeletal system, Endocrine system
- Central nervous system, Respiratory system, Cardiovascular system, Temperature (correct)
- Muscular system, Endocrine system, Skeletal system, Digestive system
- Urinary system, Lymphatic system, Integumentary system, Reproductive system
What is the recommended heart rate range for adults before starting treatment?
What is the recommended heart rate range for adults before starting treatment?
In which type of sedation is continuous pulse monitoring mandatory?
In which type of sedation is continuous pulse monitoring mandatory?
Which vital signs are recommended to be monitored at regular intervals during parenteral sedation?
Which vital signs are recommended to be monitored at regular intervals during parenteral sedation?
What blood pressure level represents an ASA 4 risk according to the text?
What blood pressure level represents an ASA 4 risk according to the text?
Which method is mentioned as the second method to determine the status of a patient’s cardiovascular system?
Which method is mentioned as the second method to determine the status of a patient’s cardiovascular system?
At what blood pressure level should medical consultation and management be sought before the start of elective dental or surgical care?
At what blood pressure level should medical consultation and management be sought before the start of elective dental or surgical care?
Why is intra-arterial blood pressure monitoring not really needed during outpatient sedation?
Why is intra-arterial blood pressure monitoring not really needed during outpatient sedation?
Why are standard lead I (right arm → left arm) or lead II (right arm → left leg) most commonly used during anesthesia for electrocardiography?
Why are standard lead I (right arm → left arm) or lead II (right arm → left leg) most commonly used during anesthesia for electrocardiography?
What increases one’s ability to detect possibly significant changes in the functioning of the myocardium at a time when corrective treatment may usually restore a normal rhythm?
What increases one’s ability to detect possibly significant changes in the functioning of the myocardium at a time when corrective treatment may usually restore a normal rhythm?
When are dysrhythmias more likely to appear, according to the text?
When are dysrhythmias more likely to appear, according to the text?
What are two common causes of dysrhythmias according to the text?
What are two common causes of dysrhythmias according to the text?
Why is casual monitoring by observation of the rise and fall of the patient’s chest considered unreliable?
Why is casual monitoring by observation of the rise and fall of the patient’s chest considered unreliable?
What is the value of the precordial-pretracheal stethoscope as a monitoring device?
What is the value of the precordial-pretracheal stethoscope as a monitoring device?
When is tachypnea most likely to occur according to the text?
When is tachypnea most likely to occur according to the text?
What does bradypnea indicate according to the text?
What does bradypnea indicate according to the text?
What is the main function of a pulse oximeter as mentioned in the text?
What is the main function of a pulse oximeter as mentioned in the text?
Which wavelengths of light does the pulse oximeter measure as they pass through living tissue?
Which wavelengths of light does the pulse oximeter measure as they pass through living tissue?
What percentage of patients who received anesthesia demonstrated hypoxia during routine surgical procedures in one study mentioned in the text?
What percentage of patients who received anesthesia demonstrated hypoxia during routine surgical procedures in one study mentioned in the text?
Which type of hemoglobin absorbs the selected wavelengths of light measured by the pulse oximeter?
Which type of hemoglobin absorbs the selected wavelengths of light measured by the pulse oximeter?
What principle do noninvasive CO2 monitors use to measure the levels of inspired and end-tidal CO2?
What principle do noninvasive CO2 monitors use to measure the levels of inspired and end-tidal CO2?
When do audible and visual alarms alert the operator when using CO2 monitors?
When do audible and visual alarms alert the operator when using CO2 monitors?
What is the frequency with which the CO2 monitor assesses the patient's breath?
What is the frequency with which the CO2 monitor assesses the patient's breath?
What does the bispectral (BIS) index range from, as mentioned in the text?
What does the bispectral (BIS) index range from, as mentioned in the text?
What does the Aspect EEG monitor quantitate?
What does the Aspect EEG monitor quantitate?
What is the main purpose of Bispectral Electroencephalographic Monitoring (BIS Monitoring) as mentioned in the text?
What is the main purpose of Bispectral Electroencephalographic Monitoring (BIS Monitoring) as mentioned in the text?
Why is it important to determine whether a patient has an elevated temperature before the start of planned treatment?
Why is it important to determine whether a patient has an elevated temperature before the start of planned treatment?
Which route is mentioned as the most practical method for routinely monitoring temperature in a dental office?
Which route is mentioned as the most practical method for routinely monitoring temperature in a dental office?
What is the advantage of using digital thermometers for monitoring body temperature?
What is the advantage of using digital thermometers for monitoring body temperature?
What is one of the purposes of preparing a written record for each patient during the administration of sedative or anesthetic drugs?
What is one of the purposes of preparing a written record for each patient during the administration of sedative or anesthetic drugs?
What is a disadvantage of oral sedation mentioned in the text?
What is a disadvantage of oral sedation mentioned in the text?
What is an advantage of oral sedation according to the text?
What is an advantage of oral sedation according to the text?
Which factor influences the absorption of drugs from the GI tract by affecting the gastric emptying time?
Which factor influences the absorption of drugs from the GI tract by affecting the gastric emptying time?
In what form are drugs more rapidly absorbed, according to the text?
In what form are drugs more rapidly absorbed, according to the text?
What is estimated to be delayed by as much as two times in a fearful patient, thereby delaying the onset of action of anti-anxiety drugs?
What is estimated to be delayed by as much as two times in a fearful patient, thereby delaying the onset of action of anti-anxiety drugs?
What is the primary use of the oral route mentioned in the text?
What is the primary use of the oral route mentioned in the text?
What is a common problem with recommended doses mentioned in the text?
What is a common problem with recommended doses mentioned in the text?
What is the primary purpose of titration by appointment?
What is the primary purpose of titration by appointment?
Why is titration by appointment important dentistry?
Why is titration by appointment important dentistry?
Which type of sedative-hypnotics is not a benzodiazepine?
Which type of sedative-hypnotics is not a benzodiazepine?
At what dosage do benzodiazepine sedative-hypnotics produce hypnosis?
At what dosage do benzodiazepine sedative-hypnotics produce hypnosis?
Which sedative-hypnotic is a chloral derivative?
Which sedative-hypnotic is a chloral derivative?
Where are the specific receptors for benzodiazepines isolated?
Where are the specific receptors for benzodiazepines isolated?
At what doses do benzodiazepines depress the limbic system and thalamus, according to the text?
At what doses do benzodiazepines depress the limbic system and thalamus, according to the text?
What distinguishes the depressant effects of benzodiazepines from barbiturates?
What distinguishes the depressant effects of benzodiazepines from barbiturates?
Which benzodiazepine is most suited for patients requiring minimal to moderate sedation to sleep restfully the evening before their treatment?
Which benzodiazepine is most suited for patients requiring minimal to moderate sedation to sleep restfully the evening before their treatment?
What is the primary use of oral triazolam in dentistry in North America?
What is the primary use of oral triazolam in dentistry in North America?
Why is it important to consider the onset and duration of action when choosing a specific benzodiazepine for a patient?
Why is it important to consider the onset and duration of action when choosing a specific benzodiazepine for a patient?
What is a contraindication for the use of Valium (Diazepam)?
What is a contraindication for the use of Valium (Diazepam)?
When is the peak time for Valium (Diazepam)?
When is the peak time for Valium (Diazepam)?
What is the recommended dose of Valium (Diazepam) 1 hour before treatment?
What is the recommended dose of Valium (Diazepam) 1 hour before treatment?
What is the oral dose of Versed (Midazolam) mentioned in the text?
What is the oral dose of Versed (Midazolam) mentioned in the text?
What is the primary advantage of using Versed (Midazolam) over valium?
What is the primary advantage of using Versed (Midazolam) over valium?
What is the typical peak time for triazolam (Halcion) mentioned in the text?
What is the typical peak time for triazolam (Halcion) mentioned in the text?
What is the recommended dose range for triazolam (Halcion) as mentioned in the text?
What is the recommended dose range for triazolam (Halcion) as mentioned in the text?
What is the recommended dosage range for Alprazolam (Xanax) according to the text?
What is the recommended dosage range for Alprazolam (Xanax) according to the text?
What is a contraindication for the use of Alprazolam (Xanax) as mentioned in the text?
What is a contraindication for the use of Alprazolam (Xanax) as mentioned in the text?
What is the dosage range for Zolpidem (Ambien) as mentioned in the text?
What is the dosage range for Zolpidem (Ambien) as mentioned in the text?
What is the primary purpose of Flumazenil as mentioned in the text?
What is the primary purpose of Flumazenil as mentioned in the text?
What is the usual dose of Flumazenil for reversing CNS and respiratory depressant effects?
What is the usual dose of Flumazenil for reversing CNS and respiratory depressant effects?
What is the total dose of Flumazenil that can be administered to reverse CNS and respiratory depressant effects?
What is the total dose of Flumazenil that can be administered to reverse CNS and respiratory depressant effects?
What is the peak time for Noctec (chloral hydrate) according to the text?
What is the peak time for Noctec (chloral hydrate) according to the text?
What is the duration of action for Noctec (chloral hydrate) as mentioned in the text?
What is the duration of action for Noctec (chloral hydrate) as mentioned in the text?
What is the average dose of Noctec (chloral hydrate) according to the text?
What is the average dose of Noctec (chloral hydrate) according to the text?
What is the duration of action for Benadryl (diphenhydramine) as mentioned in the text?
What is the duration of action for Benadryl (diphenhydramine) as mentioned in the text?
What is the concentration of diphenhydramine in the elixir form of Benadryl (diphenhydramine) according to the text?
What is the concentration of diphenhydramine in the elixir form of Benadryl (diphenhydramine) according to the text?
What is the typical peak time for Benadryl (diphenhydramine) according to the text?
What is the typical peak time for Benadryl (diphenhydramine) according to the text?
What effect do opioids produce when administered alone in the absence of pain?
What effect do opioids produce when administered alone in the absence of pain?
What is the recommended dose of triazolam (Halcion) for dental procedures of moderate length?
What is the recommended dose of triazolam (Halcion) for dental procedures of moderate length?
Why is it prudent to start with a shorter appointment and less invasive treatment when using a sedative agent for dental procedures?
Why is it prudent to start with a shorter appointment and less invasive treatment when using a sedative agent for dental procedures?
For longer dental appointments (2–4 hours), which benzodiazepine is recommended based on its longer acting nature?
For longer dental appointments (2–4 hours), which benzodiazepine is recommended based on its longer acting nature?
What has been shown to be effective for short dental procedures (1 hour) based on the text?
What has been shown to be effective for short dental procedures (1 hour) based on the text?
What is the recommended time for evaluating the efficacy of the sedation after administering the sedative drug?
What is the recommended time for evaluating the efficacy of the sedation after administering the sedative drug?
