Nitrous Oxide and Oxygen Case Study
*** Use the attached PDF PowerPoint to answer the questions below
Today you are presenting your dental hygiene care plan for four-quadrant, initial therapy, periodontal debridement to Mr. Shizoka. You will ask the patient to sign an informed consent form before you begin your treatment. Mr. Shizoka, does not have much previous dental experience. When you were collecting assessment data for the care plan, he appeared to be very nervous. He asked many questions about what you were doing and stopped you frequently when you were trying to probe because he was concerned about whether he would feel pain.
1. Mr. Shizoka’s medical history indicates that he has iron-deficiency anemia and takes a daily ferrous iron supplement. He has hypertension and takes an antihypertensive medication; but he tells you that whenever he is highly stressed, he gets a headache. Write a dental hygiene diagnosis statement related to Mr. Shizoka’s anxiety about receiving dental hygiene treatment.
2. In the dental hygiene care plan you have developed, you plan to used nitrous oxide-oxygen for pain and anxiety control during Mr. Shizoka’s four scaling and root planning appointments. Explain to Mr. Shizoka what nitrous oxide-oxygen sedation is and how it works. Also explain the advantages and disadvantages so that he can be completely informed about the use of this pain and anxiety control measures?
3. Mr. Shizoka agrees to try the nitrous oxide-oxygen sedation for at least his first dental hygiene appointment to see if he is comfortable with it. Create a service rendered entry that documents that you have fully informed Mr. Shizoka and that he has agreed to the use of nitrous oxide analgesia during his dental hygiene treatment.
4.At his next appointment, the dentist carefully titrates the nitrous oxide-oxygen combination for Mr. Shizoka, and he shows all the signs of ideal sedation. When you begin the injection of local anesthesia into the area where you will be providing care, Mr. Shizoka becomes agitated and starts moving his arms and legs. His rate of respiration increases significantly, he starts to sweat, and his eyes tear up. You immediately stop injection the local anesthesia. He says he feel sick to his stomach and wants to sit up. Discuss two possibilities for what is happening in this scenario?
5.What will you do next in the situation that is described in question #4?
6.Write a services rendered entry that documents what happened today at Mr. Shizoka’s dental hygiene appointment.
7.How much time is usually required for primary saturation of blood to occur?
8.What is the minimum amount oxygen flow that is maintained by the gas delivery system for patient safety?
9.List contraindications for the use of nitrous oxide during dental hygiene treatment.
10.What are the potential health hazards for clinicians who are exposed to excessive levels of nitrous oxide? How can these hazards be prevented?
11.Summarize the steps to administer nitrous oxide for the patient above. For each step, where appropriate, indicate the time frame and the mount of oxygen or nitrous flow including titration of nitrous oxide gas during administration.
12.Identify at least three advantages and three disadvantages of using conscious sedation (such as nitrous oxide) to reduce patient pain and anxiety during dental hygiene treatment.
