Chicago Smile Spa
2704 N Halsted Chicago IL 60614
773-348-2704 (O)
AFTER CONSCIOUS SEDATION INSTRUCTIONS
1. ______Patient CANNOT drive for 24 hours after sedation.
2. ______DO NOT operate any hazardous devices for 24 hours.
3. ______A responsible person should be with the patient until he/she has recovered from the effects of anxiety reduction medication.
4. ______Patient should not go up and down stairs unattended. Let the patient stay on the ground floor until recovered.
5. ______Patient can eat whatever and whenever he/she wants.
6. ______Patient needs to drink plenty of fluids as soon as possible, preferably water.
7. ______Patient may sleep for a long time or may be alert when he/she leaves. Attend to both alert and sleepy patients in the same manner. DO NOT trust him/her alone.
8. ______Always hold patient’s arm when walking.
9. ______Call us if you have any questions or difficulties. If you feel that your symptoms warrant a physician and you are unable to reach us go to the closest emergency room.
Following most dental procedures there may or may not be pain, depending on your threshold for pain. You will be provided with medication for discomfort that is appropriate for you. In most cases, a non-narcotic pain regimen will be given consisting of Acetaminophen (Tylenol) and Ibuprofen (Advil). These two medications TAKEN TOGETHER will be as effective as a narcotic without any of the side affects associated with narcotics. If a narcotic has been prescribed, follow the directions carefully. If you have any questions about these medications interacting with other medications you are presently taking, please call our office first, your physician and/or your pharmacist.
Medications: Take ONLY when checked:
_____Amoxicillin: Fill prescription and take as directed
_____Erythromycin: Fill prescription and take as directed
_____Tylenol (Acetaminophen): Take two tablets every 4 hours for 24 hours after appointment
_____Advil (Ibuprofen): Take two tablets every 4 hours for first 24 hours after appt.
_____Vicoprofen (For PAIN ONLY)): Take one every 6 hours as needed ONLY AFTER the first 24 hours after your appointment
_____Vitamin C: One (1000 mg) tablet at every meal 3 times a day
_____CoQ10: One (50 mg) tablet 2 times a day
I acknowledge that I have read and discussed all these instructions with Dr. Alfe. She has answered any questions I may have had regarding my treatment. I am aware of my responsibilities to ensure the best possible outcome and will adhere to Dr. Alfe’s recommendations.
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Patient Date (print)
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Patient (print)
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Patient (signature)
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Witness Date (print)
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Witness (print)
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Witness (signature)
