Moderate Sedation Exam Questions and Answers 100% Pass

Moderate Sedation Exam Questions and Answers 100% Pass Moderate sedation - Patients requiring temporary sedation to facilitate diagnostic or therapeutic procedure Sedation - any medication with sedative/hypnotic properties is capble of altering conciousness or protective reflexes Training for Personnel - Should be able to recognize complications and be capable of establishing a patient airway and positive pressure ventilation Patient Monitor - an individual, other than the practiioner performin the procedure should be present to monitor the patient through the operation with sedation/analgesia during moderate sedation. they MAY assist with minor, interruptable tasks one pation is stablized Monitering Guildilnes - Level of consciousness: - Response of patient to commands is a guide to level of consciousness. - Spoken = breathing - Reflex only = deep sedation Pulmonary Ventilation: 2 | P a g e ©All Rights Reserved, 2025 X Emily Charlene Lead Athor - Primary causes of morbidity are drug induced respiratory depression and airway obstruction Oxygenation - - Oximetry effectively detects oxygen desaturation and hypoxemia - Supplemental oxygen should be present when sedation/analgesia is administered Hemodynamics - Regular monitering of vital signs in 5 min intervals, once sedation is established. Anesthetic induction agents - Propofol Methohexital Ketamine Propofol and ketamine - - can provide moderate sedation - avoiding these meds will decrease likelyihood of adverse outcomes though JCAHO Agenda for Moderate Sedation - Standards held for sedated patients under anesthesia care must apply to all sedated patients - Regardless of care giver Goals of Moderate Sedation - 1. Patient Responds to tactile stimulation 2. Maintains a Patient Airway 3. Maintains protective reflexes 4. Maintains CV homeostasis Sedation Continuum - Moderate Sedation -> Deep Sedation -> General Moderate sedation signs - purposeful response to command or tactile stimulation 3 | P a g e ©All Rights Reserved, 2025 X Emily Charlene Lead Athor Deep Sedation signs - not easily aroused, may have purposeful response to strong stimulation, risk of ventilation/airway, and CV compromise ASA classification - I Normal, healthy II Mild systemic disease - no limitation in daily activity III Significant systemic disease - limits daily activity IV Life threatening systemic disease V Pre-morbid condition VI Organ harvest Special Emphasis for Evaluation and Anesthetic Plan - - Airway - Respiratory system - Cardiovascular system Airway Assesment - Physical Exam History Anatomical changes 4 | P a g e ©All Rights Reserved, 2025 X Emily Charlene Lead Athor Diagnostic testing Mallampati Classification Theyromental Distance Atlanto-occiptal joint distance Airway Assessment: History - - Previous problems with anesthesia or sedation - Sleep apnea, stridor, snoroing - RA Airway Assessment: PE - Significant obesity? Short Neck? Small mouth opnening? Jaw issues? Airway Red Flags - - Obesity/ Sleep apnea - Limited opening of mouth - Receeding Mandible - Pathology Respiratory Red Flags - - Wheezing/ Chronic Pulmonary disease