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Nitrous Oxide Sedation Lab Expectaitons List.docx

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Nitrous Oxide Sedation Lab Expectaitons List.docx

  1. 1. Nitrous Oxide & Oxygen Sedation Review Dr. Bee Expectation: Study Nitrous Oxide Review Power Point Study Objectives: 1. Relative contraindications 2. Absolute contraindications 3. Effect of partial pressure on air spaces and importance 4. Vital signs needed (preop, intraop, post op) 5. Definition of minimal sedation, moderate sedation a. Need for fasting for moderate sedation 6. Pre oxygenation & Post oxygenation techniques 7. Methodology of Titration and its importance (standard of care) 8. Recommended regimen for titration and timing of doses 9. Calculation of % nitrous – how to and you will need to calculate 10. MAC and analgesic quality of 20% nitrous 11. Minute volume, Tidal Volume and application to nitrous sedation 12. How to read flowmeter ball 13. Signs of sedation and over sedation 14. How to adjust oxygen as nitrous is administered 15. Recovery assessment 16. Record keeping and forms available a. Informed consent b. Record for nitrous Sample Calculations: .5L/6L=8.3% 1.0L / 6L = 16.6% 1.5L / 6L = 25%
  2. 2. Nitrous Oxide / Oxygen Sedation Lab 1. Review medications and medical history a. What medications of OTC’s do you take b. Establish that there are no relative or absolute contraindications c. Preoperative vital signs (PO2, BP, HR, Rhythm, Resp.) 2. Place nosepiece and recline patient 3. Establish Tidal Volume 4. 100% Oxygen for a few minutes 5. Are we ready to begin? 6. Increments of 0.5 L x 2 minutes 7. Calculate % nitrous at each stage 8. Signs, symptoms, or patient comfortable 9. Not more than 20-30 % nitrous a. Hypo-respondes b. Hyper-responders may become over sedated c. Patient medications will have additive effect 10. Terminate nitrous 11. Recovery 5 minutes @ 100% Oxygen 12. Postoperative Vital signs (PO2, BP, HR, Rhythm, Resp.) 13. Recordkeeping a. Preoperative, intraoperative, postoperative b. Recovery c. Vitals d. Patient released in … condition alert and oriented with no cognitive or physical impairments. 14. Total time a. 2-5 minutes pre oxygenation b. 2 minutes each increment (2-3 increments) c. 5 minutes post oxygenation d. Approximately 16 minutes

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