Moderate Sedation Exam 2024 Questions & Answers 100% Correct!

Indications for Moderate Sedation - ANSWERS1. Diagnostic procedures 2. Minor surgery at the bedside 3. Potentially painful procedures, such as cardioversion, chest tube insertion, or fracture reduction Objectives of Moderate Sedation - ANSWERS1. Mood alteration 2. Maintaining consciousness and cooperation 3. Decrease pain 4. Partial amnesia 5. Prompt and safe return to baseline and/or activities of daily living ....All accomplished while maintaining the patient's protective reflexes Moderate Sedation - ANSWERS1. Responsiveness: purposeful response to verbal or tactile stimulation 2. Airway: no intervention required 3. Spontaneous ventilation: adequate 4. Cardiovascular function: usually maintained 5. Propofol or ketamine: no 6. Privileged provider: physician credentialed for moderate sedation Deep Sedation - ANSWERS1. Responsiveness: purposeful response following repeated or painful stimulation 2. Airway: intervention may be required 3. Spontaneous ventilation: may be inadequate 4. Cardiovascular function: usually maintained 5. Propofol or ketamine: yes 6. Privileged provider: certified pediatric or adult intensivist, ED, physician, or anesthesiologist performing the procedure (need airway specialist involved) Protective Reflexes - ANSWERS1. Subconscious abilities of a person to clear the mouth of secretions and prevent foreign bodies (emesis) from entering the lungs via aspiration or coughing 2. Presence of protective reflexes is NOT a sufficient assessment of the patient's status Performing Moderate Sedation in the ICU Indications - ANSWERS1. Procedures performed on non-intubated patients 2. Procedures performed on intubated or trached patients on the ventilator (trach collar & CPAP are not enough support for deep sedation)