Slumbering Sasquatch Anesthesia, LLC danh@slumberingsquatch.com Phone: 253.344.0107 Office Administrator: krmlo@slumberingsquatch.com

SLUMBERING SASQUATCH ANESTHESIA

PRE-ANESTHESIA INSTRUCTIONS FOR YOUR CHILD: General Anesthesia 1. Eating or Drinking Failure to strictly follow these instructions could result in aspiration (food/drink going down the wrong tube and into the lungs) and may be fatal. For anesthesia, it is of the UTMOST importance that children have an empty stomach. No food ANY kind for 8 (eight) hours prior to the appointment. Water or Gatorade may be taken up to 2 (two) hours prior to the appointment. Please ensure your child uses the bathroom prior to the appointment. 2. Clothing Your child can come in regular loose clothing, EXCEPT onesies also known as "Footie" pajamas or stockings. Children should bring a blanket. For children who do not wear a diaper or pull up, please consider an extra set of clothes in case of anaccident. Do not wear nail polish, makeup, or fake eyelashes. Contact lenses must be removed before anesthesia. Please do not bring anything valuable or jewelry to this appointment. 3. Change in Health or Medications A change in health, especially the development of a cold, cough, or fever is EXTREMELY important. Please notify the dentist office if there is any change in your health. Your appointment may need to be rescheduled. Prescription medications should be taken as scheduled unless previously indicated in the pre-anesthesia call and may be taken only with sips of water. 4. Designated Responsible Adult A responsible adult must accompany any child to the office and remain on the premises during the procedure.

POST-ANESTHESIA INSTRUCTIONS FOR YOUR CHILD: General Anesthesia 1. Eating or Drinking Limit oral intake to liquids for the first hour. If your child coughs when they try to swallow, wait for about 15 minutes before trying again (coughing is an indication that the food/liquid is going down the wrong tube Begin with water and follow with sweet liquids such as sports drinks, clear juice as tolerated. If your child tolerates liquids, then you can try foods. We would suggest starting with the same kinds of food that you would give if your child had an upset stomach (soups, bread, rice, noodles, Jello, etc If your child is not hungry, do not force them to eat, but encourage as much liquid as tolerated. Children who do not rehydrate are more likely to have a fever, nausea and feel poorly. 2. Activities A responsible adult must continue to monitor the child after anesthesia for up to 12 hours. The child's judgment, movement, and balance may be impaired during this time. Please keep your child away from areas of potential harm and avoid activities such as swimming, biking, skating, or play with other children until fully alert and responsive. Place a blanket on the floor for the child to rest and observe them closely. 3. Pain or Fever Muscle aches and a sore throat, similar to the flu, may occur following anesthesia. These symptoms are very common and will usually disappear within 24-36 hours. Medications such as children's Tylenol and Motrin are usually very effective and should be taken at the first sign of pain, if normally tolerated. In children, a fever up to 101 degrees Fahrenheit may develop for the first 2 hours. Tylenol every 3-4 hours with plenty of liquids will tend to alleviate this condition. 4. Seek Advice If vomiting occurs and persists beyond 8 hours, if temperature remains elevated beyond 24 hours, or if you have other serious concerns following anesthesia, please contact the dental office. In the event of a serious medical emergency, please call 911.