ANDN 314 Quiz #2 helpful hints

advantages of nitrous oxide sedation/ properties of nitrous oxide

nitrous oxide: colorless, nonirritating gas with a milk odor and taste

advantages:

• no special permit

• no special monitoring equiment

• rapid onset and peak clinical effect

• no venipuncture required

• rapid reversal of sedation

• can be titrated to effect

• analgesic

• no NPO instructions required

• no escort or driver necessary

Management of needle fracture

• stay calm

• attempt to retrieve

• referral to specialist (OMFS)

• imaging

Most common complications of LA

• most common: post-injection pain

• trismus

• needle breakage

• prolonged anesthesia or paresthesia

• facial nerve paralysis

• soft tissue injury

• hematoma

• pain on injection

• burning on injection

• infection

• postanesthetic intraoral lesions

percentage of people who achieve adequate levels of sedation with 50% nitrous or less

95% of population will achieve desired level of sedation at 50% or less

storage of nitrous oxide and oxygen (tanks)

two sizes of cylinder tanks

• H/G cylinders: larger ones for the central supply

• E cylinder: smaller for portable supply (mobile units on clinic)

Oxygen

• geen

• 2,000 psi

• gas

• 625L (E cylinder)

Nitrous Oxide

• blue

• 750 psi

• liquid/ gas

• 1,600 L (E cylinder)

Management of post injection sores

intraoral lesions management:

• supportive care of the symptoms

  • pain

  • rule out infection

  • may last 7-10 days w/ or w/o treatment

complications of Periodontal Ligament injection

• pain

• tissue injury

• ??

Intravascular injection complications

Ways to assess if nitrous oxide flows are adequate/ appropriate

goals:

desirable

• conscious and muscles relaxed

• feeling of well-being, euphoria

• stable vitals

• reports of tingling in toes and finder-tips, lips, tongue

• warm sensation

• voice change

• pain control

• heaviness

• floating

undesirable

• laugh, cries, giddy

• uncooperative, restless and agitates

• becomes uncomfortable

• falls asleep, jerks, mouth repeatedly closes

• irrational responses

• talks incoherently, mentioins dream

• complains of nausea

• vomitting

• non-responsive, unconscious

oraquix recommended dosage

max dose: 5 cartridges (8.5g gel)