MODERATE SEDATION CERTIFICATION NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
ANSWERS//GRADED A+// VERIFIED 100% CORRECT!!.
JCAHO Care Standard: Qualified Individuals conducting
sedation must possess education, training, and
experience in?
1. Evaluating patients prior to moderate or deep
sedation
2. Rescuing patients who slip into a "deeper than
desired" level of sedation or anesthesia
3. Managing a compromised airway during a procedure
4. Handling a compromised CV system during a
procedure.
Pre-Operative Nursing Assessment Steps
1. Chart Review
2. Patient Interview
3. Physical Exam and Review of Systems
pg. 1
,Pre-sedation Assessment Overview: Parts of the
Assessment
1. NPO Status
2. Chief complaint
3. Current medications
4. Drug allergies
5. H/O substance abuse
6. Concurrent medical problems
7. Communication Ability
How is Aspiration Risk Reduced
1. Pre-procedure fasting--Defined as no food for 6
hours prior to procedure. May have clear fluids until 2h
prior to procedure.
2. Medication is titrated to maintain reflexes
What conditions place patient's at enhanced risks for
aspiration with sedation?
1. Obesity
2. DM
3. Pregnancy
pg. 2
,4. Bowel Dysfunction
Patient history to consider during pre-op preparation
1. Smoking- PPD and years
2. Drug allergies and reaction
3. Alcohol Abuse
4. Menstrual Hx and Urine HCG for fertile women
5. Height and Weight to dose medications
6. Drug Abuse
7. Daily Medications
8. Post Facial/Neck Trauma or Surgery
9. Dentures or any removable items in mouth
Elements of Pre-operative Preparation
1. Patient counseling
2. Rapport
3. Verbal reassurance
4. Patient expectations
5. IV Access
6. EKG/BP
pg. 3
, 7. Pulse Ox
8. Informed Consent
Moderate "Conscious" Sedation
A minimally depressed level of consciousness induced
by the administration of pharmacologic agents in which
the patient retains continuous and independent ability
to maintain protective reflexes and a patent airway and
to be aroused by physical or verbal stimulation.
Levels of Sedation Analgesia
1. Minimal Sedation
2. Moderate Sedation/Analgesia
3. Deep Sedation/Analgesia
4. General Anesthesia
Minimal Sedation
1. Patient is able to respond normally to verbal
stimulation.
2. Airway and Spontaneous Ventilation is not affected
and thus "normal"
3. Cardiovascular function is not affected
pg. 4
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
ANSWERS//GRADED A+// VERIFIED 100% CORRECT!!.
JCAHO Care Standard: Qualified Individuals conducting
sedation must possess education, training, and
experience in?
1. Evaluating patients prior to moderate or deep
sedation
2. Rescuing patients who slip into a "deeper than
desired" level of sedation or anesthesia
3. Managing a compromised airway during a procedure
4. Handling a compromised CV system during a
procedure.
Pre-Operative Nursing Assessment Steps
1. Chart Review
2. Patient Interview
3. Physical Exam and Review of Systems
pg. 1
,Pre-sedation Assessment Overview: Parts of the
Assessment
1. NPO Status
2. Chief complaint
3. Current medications
4. Drug allergies
5. H/O substance abuse
6. Concurrent medical problems
7. Communication Ability
How is Aspiration Risk Reduced
1. Pre-procedure fasting--Defined as no food for 6
hours prior to procedure. May have clear fluids until 2h
prior to procedure.
2. Medication is titrated to maintain reflexes
What conditions place patient's at enhanced risks for
aspiration with sedation?
1. Obesity
2. DM
3. Pregnancy
pg. 2
,4. Bowel Dysfunction
Patient history to consider during pre-op preparation
1. Smoking- PPD and years
2. Drug allergies and reaction
3. Alcohol Abuse
4. Menstrual Hx and Urine HCG for fertile women
5. Height and Weight to dose medications
6. Drug Abuse
7. Daily Medications
8. Post Facial/Neck Trauma or Surgery
9. Dentures or any removable items in mouth
Elements of Pre-operative Preparation
1. Patient counseling
2. Rapport
3. Verbal reassurance
4. Patient expectations
5. IV Access
6. EKG/BP
pg. 3
, 7. Pulse Ox
8. Informed Consent
Moderate "Conscious" Sedation
A minimally depressed level of consciousness induced
by the administration of pharmacologic agents in which
the patient retains continuous and independent ability
to maintain protective reflexes and a patent airway and
to be aroused by physical or verbal stimulation.
Levels of Sedation Analgesia
1. Minimal Sedation
2. Moderate Sedation/Analgesia
3. Deep Sedation/Analgesia
4. General Anesthesia
Minimal Sedation
1. Patient is able to respond normally to verbal
stimulation.
2. Airway and Spontaneous Ventilation is not affected
and thus "normal"
3. Cardiovascular function is not affected
pg. 4
