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Basic Guide to Dental Sedation Nursing offers a complete resource for information about dental sedation nursing. Updated to reflect the current National Examining Board of Dental Nurses (NEBDN) curriculum, the new edition provides essential information on the subject in an accessible format. The book starts by defining conscious sedation and discusses why dental sedation is used before moving on to discuss topics such as the medico-legal aspects, the dental nurse's role, equipment, patient selection, types of sedation, medical emergencies, and anatomy. * Presents essential evidence-based…mehr
Basic Guide to Dental Sedation Nursing offers a complete resource for information about dental sedation nursing. Updated to reflect the current National Examining Board of Dental Nurses (NEBDN) curriculum, the new edition provides essential information on the subject in an accessible format. The book starts by defining conscious sedation and discusses why dental sedation is used before moving on to discuss topics such as the medico-legal aspects, the dental nurse's role, equipment, patient selection, types of sedation, medical emergencies, and anatomy. * Presents essential evidence-based information on dental sedation nursing * Reflects the current NEBDN curriculum * Supported by images to demonstrate the concepts discussed Basic Guide to Dental Sedation Nursing is a useful manual for sedation nurses undertaking any of the NEBDN sedation qualifications, including the NEBDN Diploma in Dental Nursing, City and Guilds or CACHE Dental Nursing qualifications, as well as for dental hygienists and therapists.
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.
Inhaltsangabe
How to Use This Book ix Acknowledgements xi 1 Introduction 1 Definition of conscious sedation 2 Why dental sedation is provided 2 Reference 5 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 References 22 3 Role of the dental nurse and equipment 23 Introduction 23 General 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 References 64 4 Patient selection 65 Introduction 65 The assessment appointment 65 Medical history 66 Physical examination 67 Dental history 69 Social history 69 Conclusion 70 Reference 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 Reference 115 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 References 156 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
How to use this book vii
Acknowledgements ix
1 Introduction 1
Definition of conscious sedation 1
Why dental sedation is used 2
Bibliography 4
2 Medico-legal aspects of dental sedation 5
Introduction 5
Recommendations currently in place when providing dental sedation 7
Medico-legal considerations when providing dental sedation 11
Bibliography 18
3 Role of the dental nurse and equipment 19
Introduction 19
Role of the dental nurse 19
Intravenous sedation 21
Inhalation sedation 39
Oral sedation 42
Transmucosal (off-licence) sedation 45
Note 45
Clinical monitoring and equipment used 45
Conclusion 51
Bibliography 62
4 Patient selection 63
Introduction 63
The assessment appointment 63
Medical history 64
Physical examination 64
Dental history 65
Social history 67
Conclusion 67
Bibliography 67
5 Types of sedation 68
Introduction 68
Intravenous sedation 69
Inhalation sedation 82
Oral sedation 109
Bibliography 113
6 Medical emergencies 114
Introduction 114
Prevention of medical emergencies 114
Legal aspects dealing with medical emergencies 116
Dealing with medical emergencies 116
Common medical emergencies 125
Signs and symptoms of medical emergencies 126
Medical emergencies 126
Cardiac emergencies 130
Choking and aspiration 135
Epilepsy 137
Hypoglycaemia 139
Fainting/syncope 140
Note 141
Airway control and ventilation 141
Conclusion 149
Bibliography 153
7 Essential anatomy 155
Introduction 155
The blood 155
The heart 158
The respiratory system 160
The dorsum of the hand and the antecubital fossa 169
How to Use This Book ix Acknowledgements xi 1 Introduction 1 Definition of conscious sedation 2 Why dental sedation is provided 2 Reference 5 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 References 22 3 Role of the dental nurse and equipment 23 Introduction 23 General 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 References 64 4 Patient selection 65 Introduction 65 The assessment appointment 65 Medical history 66 Physical examination 67 Dental history 69 Social history 69 Conclusion 70 Reference 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 Reference 115 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 References 156 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
How to use this book vii
Acknowledgements ix
1 Introduction 1
Definition of conscious sedation 1
Why dental sedation is used 2
Bibliography 4
2 Medico-legal aspects of dental sedation 5
Introduction 5
Recommendations currently in place when providing dental sedation 7
Medico-legal considerations when providing dental sedation 11
Bibliography 18
3 Role of the dental nurse and equipment 19
Introduction 19
Role of the dental nurse 19
Intravenous sedation 21
Inhalation sedation 39
Oral sedation 42
Transmucosal (off-licence) sedation 45
Note 45
Clinical monitoring and equipment used 45
Conclusion 51
Bibliography 62
4 Patient selection 63
Introduction 63
The assessment appointment 63
Medical history 64
Physical examination 64
Dental history 65
Social history 67
Conclusion 67
Bibliography 67
5 Types of sedation 68
Introduction 68
Intravenous sedation 69
Inhalation sedation 82
Oral sedation 109
Bibliography 113
6 Medical emergencies 114
Introduction 114
Prevention of medical emergencies 114
Legal aspects dealing with medical emergencies 116
Dealing with medical emergencies 116
Common medical emergencies 125
Signs and symptoms of medical emergencies 126
Medical emergencies 126
Cardiac emergencies 130
Choking and aspiration 135
Epilepsy 137
Hypoglycaemia 139
Fainting/syncope 140
Note 141
Airway control and ventilation 141
Conclusion 149
Bibliography 153
7 Essential anatomy 155
Introduction 155
The blood 155
The heart 158
The respiratory system 160
The dorsum of the hand and the antecubital fossa 169
Bibliography 172
Index 173
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