A DOCS Education member inquires:
I have a female patient age 63. Her only medication listed is a Qvar inhaler that she says is used prophylactically. There are no other health risks. She has not had an asthma attack in years. Is there a protocol for patients with a history of asthma? Is there any contraindications for using Lorazepam, Triazolam, or Hydroxyzine?
Dr. PJ Goyal, DOCS Education faculty member, responds:
There are no concerns with your asthma patient and oral sedation medications, but pre-operatively I would look at her SpO2 saturation number. If it is lower than 96 I would have this patient use the inhaler to see if the number improves closer to 100. If it is 96 or below I would recommend you not sedate this patient. If the number is above 96 I would have no concerns but I may use the inhaler before treatment to insure no respiratory concerns arise.
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.