Pediatric Dentistry · single question

A child arrives for sedation. Mom says he didn't eat, but the child says he had a bowl of cereal; the office forgot to give fasting instructions. What do you do?

  1. Reschedule the appointment
  2. Proceed with sedation anyway
  3. Reduce the sedative dose and proceed
Show answer and explanation

Correct answer: A. Reschedule the appointment

  • A. Correct. Adequate NPO (fasting) status is required before sedation/anesthesia to reduce aspiration risk. Since the child recently ate, reschedule.
  • B. Incorrect. Sedating a non-fasted child risks aspiration of gastric contents.
  • C. Incorrect. Lowering the dose does not eliminate the aspiration risk from a full stomach; proper fasting is required.

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