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Southern Care Dental 652 Great South Road Manukau 2104 New Zealand Phone: 09 215 2030 www.southerncaredental.co.nzIntra Venous Sedation Patient Consent Form and are drugs commonly.

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I acknowledge that the procedure(s), its implications and possible complications have been explained to me, along with the alternatives, including not having any treatment. I understand the procedure will entail moderate IV sedation and I consent to the administration of this sedation by the above-named practitioner.

How Is IV Sedation Administered? To administer IV sedation, a very thin needle is inserted into a vein near the surface of the skin, usually in the arm or the back of the hand. Medications enter the body through a tube connected to the needle, which stays in the vein throughout the procedure.

Intravenous Sedation (IV Sedation), also known as conscious sedation, sleep or twilight dentistry, involves the administration of sedative agents through a vein before dental work is performed to place you in a relaxed and sleepy state, though you may be fully responsive.

The following must be documented, including date and time, at a minimum of every five minutes during the moderate sedation: Heart rate. Oxygen saturation. Respiratory rate.

Before Your IV Sedation Do not eat or drink anything for 8 hours prior to appointment. ( ... Please take all morning medications (including blood pressure medications) with a small sip of water. ... Have a responsible adult with you to drive you TO and FROM your appointment. ... Wear loose clothing, comfortable clothing.

Option 3: Conscious Sedation This type of anesthesia may be administered orally (a drink) or through a tube to a needle in the vein. Risks, include but are not limited to: Infection, swelling, discoloration, bruising, headache, tenderness at the needle site and vein, dizziness, nausea and vomiting can occur.

You may need to request conscious sedation in order to receive it, especially during dental procedures like fillings, root canals, or crown replacements. That's because typically, only local numbing agents are used in these cases.

Obtaining informed consent is an integral step in establishing the unique relationship between a patient and an anesthesiologist. To affect a functionally successful relationship with the patient, the anesthesiologist must recognize certain limitations inherent to being an anesthesiologist.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232