A DOCS Education member wants to make sure all the T's are crossed and the I's are dotted when it comes to the use of hydroxyzine during a sedation appointment. Not one, but two DOCS Education faculty members weigh in.

A member of DOCS Education asks:

If I chose to skip hydroxyzine at the initial assessment, am I able to administer it at a later time during the procedure as long as it is only give once?

Dr. Jerome Wellbrock, DOCS Education faculty, responds:

This is a great question. You are correct that we only give hydroxyzine once during a sedation appointment. It should be administered after the initial assessment, and most often the decision to add hydroxyzine to the sedation protocol is decided before the appointment.

Dr. Anthony Feck, DOCS Education faculty, expands with additional scenarios:

According to DOCS protocols, hydroxyzine is given only for four purposes for incremental dosing (stomach sensitive to meds, gagging, smoking and trouble breathing through nose due to allergies or URI), and one for single-dose protocols (to extend the length of sedation in protocol #3 and #5). All of these reasons are known prior to the appointment, which is why hydroxyzine is given at the outset of treatment. Therefore, the only scenario I can think of that would warrant hydroxyzine given at some other time during the procedure would be if: you are restricted to a single dose protocol, you practice in a state that allows a single dose of a second drug or your patient has already had their single dose of the first drug (triazolam or lorazepam), and they need more sedation medication.

Disclaimer

The information contained in this, or any case study post in Incisor should never be considered a proper replacement for necessary training and/or education regarding adult oral conscious sedation. Regulations regarding sedation vary by state. This is an educational and informational piece. DOCS Education accepts no liability whatsoever for any damages resulting from any direct or indirect recipient's use of or failure to use any of the information contained herein. DOCS Education would be happy to answer any questions or concerns mailed to us at 106 Lenora Street, Seattle, WA 98121. Please print a copy of this posting and include it with your question or request.

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The information contained in this, or any case study post in Incisor, should never be considered a proper replacement for necessary training and/or education regarding adult oral conscious sedation. Regulations regarding sedation vary by state. This is an educational and informational piece. DOCS Education accepts no liability whatsoever for any damages resulting from any direct or indirect recipient's use of or failure to use any of the information contained herein. DOCS Education would be happy to answer any questions or concerns mailed to us at 3250 Airport Way S, Suite 701 | Seattle, WA 98134. Please print a copy of this posting and include it with your question or request.
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