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 ix
Acknowledgements xi

1 Introduction 1
Definition of conscious sedation 2
Why dental sedation is provided 2

2 Medico?]legal aspects of dental sedation 7
Introduction 7
Recommendations currently in place when providing dental sedation 7
Medico?]legal considerations when providing dental sedation 14

3 Role of the dental nurse and equipment 23
Introduction 23
eneral role of the dental nurse 24
Intravenous sedation 25
Inhalation sedation 43
Oral sedation and pre?]medication 46
Transmucosal (off?]licence) sedation 48
Clinical monitoring and equipment used 49

4 Patient selection 65
Introduction 65
The assessment appointment 65
Medical history 66
Physical examination 67
Dental history 69
Social history 69
Conclusion 70

5 Types of sedation 71
Introduction 71
Pharmacology 72
Intravenous sedation 72
Transmucosal (off?]licence) sedation 84
Inhalation sedation 86
Oral sedation and pre?]medication 111

6 Medical emergencies 117
Introduction 117
Minimising the likelihood of medical emergencies 118
Legal aspects of medical emergencies 119
Dealing with medical emergencies 119
Common medical emergencies 125
Airway control and ventilation 144

7 Essential anatomy 157
Introduction 157
Blood 157
Heart 160
Respiratory system 163
Dorsum of the hand and antecubital fossa 172

References 175
Index 177