2nd Course: The Sedating Game: Enteral Sedation in the 21st Century (Hybrid) by sedationce-admin | May 17, 2019 Course Information Before starting this course you must complete the required prerequisite course: 1st Course: Pre-Operative Patient Assessment (Hybrid) Section One Copyright The Sedating Game: Enteral Sedation Conscious, Deep, And General Sedation Minimal Sedation Moderate Sedation Deep Sedation General Anesthesia Dental Anesthesiology Enteral Sedation Permits-2011 Pediatric Enteral Sedation Permits-2011 Dentists Use of Sedation On Their Patients In Their Primary Practice Number of Times Sedation Is Administered Per Month Route of Administration Anxiety Anxiety Is Worry Gone Out Of Control Fear Fear 5 Universal Fears Top Ten Dental Fears Cardiovascular Stress Response Objectives Of Minimal And Moderate Sedation Utility Of Sedation Advantages Of Oral Sedation Disadvantages Of Oral Sedation Therapeutic Suggestions For Oral Sedation Enteral Sedation Absorption Termination of Activity Distribution Distribution Gastric Emptying Times First Pass Effect Sublingual Administration Drug Response Variations Normal Biologic Variation Drug And Dosage Selection Therapeutic Index Benzodiazepines Benzodiazepines Classification of Benzodiazepines The Fab Four Diazepam (Valium) Lorazepam (Ativan) Triazolam (Halcion) Midazolam (Versed) Oxazepam (Serax) Alprazolam (Xanax) Non-Benzodiazepine Sedative/hypnotics Non-Benzodiazepine Sedative/hypnotics Zolpidem (Ambien) Zaleplon, Ezopiclone Melatonin Receptor Agonists Bnz’s Are Inactivated By Cyp 3a4 Oxidation The Cytochrome P-450 System Cyp 3a4 Inhibitors Cyp 3a4 Inhibitors Cyp 3a4 Inhibitors Cyp3a4 Inducers Cyp 3a4 Inducers Single Dose Sedation Conscious Sedation (ioa) The Research The Research Stacked Dosing Stacked Dosing Stacked Dosing Family Struggle Stacked Dosing Lawsuit Seeks $10 Million Halcion Overdose Benzodiazepine Reversal Flumazenil (romazicon) Flumazenil Non-iv Flumazenil Submucosal Flumazenil Submucosal Flumazenil Pharmacologic Antagonist Opioids Opioid Receptors Analgesia And Sedation Respiratory Effects Factors Affecting Opioid Induced Respiratory Depression Effect On Cardiovascular Stress Response Gi Effects Intracranial Pressure Muscle Rigidity Ocular Effects Thermoregulation And Shivering Allergic Reactions Tolerance Acute Tolerance Idiosyncrasy Precautions For Use Comparative Chart Morphine Phenylpiperidine Series Phenylpiperidine Series Meperidine (Demerol) Fentanyl (Sublimaze) Anti-histamines & Phenothiazines Antihistamines Antihistamines Antihistamines Sleep Aid Considerations Level 1 Or Level 2 Phenothiazines Promethazine (Phenergan) Ponv History Prevention And Preparation Benzodiazepines Comparisons Antihistamines Summary For IV Opioids When To Give Up! Limitations For Moderate Sedation Level 1 Level 2 Nitrous Oxide Inhalation Sedation & Enteral Sedation Comment Click NEXT then Please EXIT above