Apr 02, 2026  
2026-2027 Pierce College Catalog 
    
2026-2027 Pierce College Catalog
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DHYG 406 Pain Management II: Nitrous Oxide Sedation (1 credit)



Course Description
This course provides a comprehensive study of the proper diagnosis and use of nitrous oxide conscious sedation for the dental office.

Course Content
History of general anesthesia Spectrum of pain control State laws and regulations related to nitrous oxide sedation (Occupational Safety and Health Administration (OSHA) and Washington Industrial Safety and Health Act (WISHA)) Patient pre-evaluation Indications and contraindications Advantages and limitations Pharmacology Anatomy of the respiratory, cardiovascular, and central nervous system pertaining to nitrous oxide conscious sedation Physiology of the respiratory, cardiovascular, and central nervous system pertaining to nitrous oxide conscious sedation Safety and hazards nitrous oxide conscious sedation Armamentarium components (built-in, portable, etc.) Infection control and proper storage of nitrous oxide armamentarium Administration technique Complications and concerns Prevention and management of waste gas

Student Outcomes
 

  1. Compare the effects of drugs used for conscious sedation on the anatomy and physiology of a human’s respiratory, cardiovascular, and central nervous systems.
  2. Interpret medical and industrial safety hazards, laws, and regulations associated with nitrous-oxide use in dentistry, including the prevention and management of waste gas.
  3. Contrast the advantages, disadvantages, function, and safe administration of using conscious inhalation sedation for humans.
  4. Assess medical considerations and complications using patient interviews, as well as patient medical, dental, and social histories for administering nitrous-oxide conscious sedation to a human.
  5. Demonstrate the safe administration of nitrous oxide conscious sedation in a dental setting to a human.


Degree Outcomes
This course is part of the Bachelor of Applied Science in Dental Hygiene Degree. Please refer to the Dental Hygiene Competency Map for detail of the Program Competencies this course addresses. Each competency is identified at a level of skill by the terms Introductory (I), Developing (D), or Competent (C). The map also shows the alignment between each Program Competency and the Pierce College Core Ability(ies). 

Core Abilities

Critical, Creative and Reflective Thinking: Graduates will evaluate, analyze, synthesize, and generate ideas; construct informed, meaningful, and justifiable conclusions; and process feelings, beliefs, biases, strengths, and weaknesses as they relate to their thinking, decisions, and creations.

Effective Communication: Graduates will be able to craft and exchange ideas and information in a variety of situations, in response to audience, context, purpose, and motivation.

Lecture Contact Hours 8
Lab Contact Hours 4
Clinical Contact Hours 0
Total Contact Hours 12

Potential Methods
Written exam - multiple choice, true/false, matching Group discussion - class participation Lab practicum - clinic observation and evaluation Instructor observation - clinic observation with feedback Case study - previous patient case histories Formal assessment - instructor evaluation of student technique Self evaluation - self evaluation Student proficiency - lab practice exam Peer evaluation - peer evaluation ePortfolio



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