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Conscious sedation and anxiolysis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
Is it possible to measure if I was taken beyond anxiolysis or if it is considered conscious sedation?
Doctor :   Hi
Doctor :   Dr
User :   Hi doc
Doctor :   can you explain your question please
Doctor :   hello
Doctor :   Are u there ?
User :   If I take oral meds prior to my dental apptmnt how do I know if I have been taken beyond anxiolysis or is it considered conscious sedation?
Doctor :   may i know the name of the medication you are taking ?
Doctor :   sedation , is when u become sleepy
Doctor :   anxiolysis, occurs at a lower dose than that needed for sedation
User :   It is legal to take oral meds in my state prior to my dental visit for anxiety as long as I am not taken beyond anxiolysis. How do you measure that????
Doctor :   If you have taken a larger dose, you will feel sleepy
User :   Does the medication used to measure anxiolysis
Doctor :   the symptoms of lethargy, not able to converse properly indicate sedation
Doctor :   may i know which state are u resding in ?
Doctor :   and the medication that you are taking ?
User :   I want to know how can you prove that anyone has gone beyond anxiolysis??? Not a trick question. Can you measure that. If you can not answer me then please do not charge me.
Doctor :   Yes
Doctor :   I did say that
Doctor :   if you check the urine for the level of the medicine
User :   How can you measure if a patient has gone beyond anxiolysis?
Doctor :   the level of medication in the urine if it is high
User :   If this happened a year ago then how can you prove this?
Doctor :   it means ithat it is sedation
Doctor :   if the urine levels is low , it is anxiolysis
Doctor :   that cannot be proved
Doctor :   if it is a year old episode it cannot be proved
Doctor :   if it has been done within 24 hrs - 48 hrs , it can be checked
Doctor :   and determined
Doctor :   if not it cannot be checked
User :   I am a dentist and regardless of the meds, the board is trying to prove that I took pts beyond anxiolysis. Our law states that we can use oral meds as long as you do not take a pt beyond anxiolysis.
Doctor :   yes that is right
Doctor :   it cannot be proved now, unless that thay have urine samples
Doctor :   of the patient at the time the procedure was done
User :   So you are saying that anxiolysis is only measured by the urine?
Doctor :   yes
User :   Can one mepergan take a pt beyond anxiolysis
Doctor :   may i know the dosage that was given ?
User :   There is no dosage of mepergan
Doctor :   was it a tablet or a IV ?
User :   Only oral in my office. No IV
Doctor :   in that case, it cannot cause sedation
User :   What if you ad 10 mg of Valium orally
Doctor :   it can increase the amount of anxiolysis
Doctor :   sedation depends on each patient
Doctor :   sedation will take at least 45 minutes and a dosage of 20mg with valium
Doctor :   a dosage of 10 mg will not cause any sedation
User :   Do you have any literature to prove this
Doctor :   No its my clinical experience
User :   How do I defend myself?
User :   They have other guys that say I have out a doubt taken pts beyond anxiolysis w these meds
Doctor :   You can ask a medical practitioner or a pharmacist , and he can help you out
User :   I that I was asking a medical practitioner
Doctor :   they will not have any proof
Doctor :   its just conjecture
User :   R u a medical practitioner
Doctor :   i am a medical doctor
Doctor :   yes
Doctor :   Even i can help you out
Doctor :   I am a Internist
User :   It's a witch hunt because I built a new office by the current board president
Doctor :   ok
Doctor :   Without proof , they cannot do anything
User :   Do you know an anesthesiologist that could say the same thing
Doctor :   There are no anesthesiologists on our panel , we are sorry about that
Doctor :   but any practicing anestheologist can help u in that matter
Doctor :   anyone from your own city
User :   Anyone other ideas that mayvhelp me?
Doctor :   Try taking your patinets who have had a good rapport about you to come in your defence as a witness
Doctor :   and if they have had any issues with your treatment
Doctor :   that will help you out
User :   Ok. Thanks for your time. Never had a complaint from a pt
Doctor :   In that case, you will be safe
User :   Thanks. Have a good day
Doctor :   you too
Doctor :   i hope everything works out for you
Doctor :   please leave your feedback as you log out
User :   How do I get a copy of this chat
Doctor :   you can copy it from your chat history
User :   Thank you
Doctor :   or you can drop a mail at YYYY@YYYY
Doctor :   and they will email it to you
User :   Where is the chat history located
Doctor :   in your panel, there will be a link with your chat history
User :   One more thing.
Doctor :   sure
User :   Where is the line between conscious sedation and anxiolysis
User :   I am allowed to use the meds as long as it does not take pts beyond anxiolysis.
Doctor :   when a patient , tends to become less oriented , not able to respond to your comments , or says that he is feeling drowsy - that is the line
Doctor :   as long as he responds to your comments, opens his eyes on his own, he is still under anxiolysis
Doctor :   i hope this clears your doubts
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