Pain and anxiety: Patient evaluation/mointoring & Pain and anxiety

Med/dent history, physical exam, and psychological exam

What all included in the pre-anesthetic assessment

Concomitant medications, ASA classification, how patient reacts to L.A., fears

What is included in the med/dent history

Visual exam, vital signs, and weight

What is included in a physical exam

2 or more medications taken on the same day

What does concomitant medications mean

140-159/ 90-94

What blood pressure would require N2O for stress reduction

75-100bpm

What is the pulse for children

18-30

What is respiration of children

120-160bpm

What is pulse for toddlers

25-32

What is respiratory rate for toddler

Decreases pain threshold

How does stress effect pain threshold

The pre-anesthetic assessment

What is used to risk assessment

Safety of dental treatment, if modifications are needed, need for local anesthesia and selection of specific L.A.

What does the risk assessment determine

Antibiotics, anesthesia, anxiety, and allergies

What are the A’s of Risk assessment

Bleeding abnormally

What are the B’s of risk assessment

Chair position

What are the C’s of risk assessment

Drug interactions, adverse effects, side effects, allergy, OR devices within patient

What are the D’s of risk assessment

Equipment use issues OR Emergency that may occur

What are the E’s of risk assessment

Unpleasant strong emotion caused by awareness or anticipation of danger (usual during threat) Tends to be short lived

What is fear

Learned response from personal experiences or from experiences of others

What is anxiety