1|Page
Moderate Sedation Questions
with Correct Answers 100%
Correct Graded A+
Moderate sedation Ans: Patients requiring temporary sedation to facilitate
diagnostic or therapeutic procedure
Sedation Ans: any medication with sedative/hypnotic properties is capble of
altering conciousness or protective reflexes
Training for Personnel Ans: Should be able to recognize complications and be
capable of establishing a patient airway and positive pressure ventilation
Patient Monitor Ans: 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 Ans: Level of consciousness:
- Response of patient to commands is a guide to level of consciousness.
- Spoken = breathing
- Reflex only = deep sedation
Pulmonary Ventilation:
,2|Page
- Primary causes of morbidity are drug induced respiratory depression and
airway obstruction
Oxygenation Ans: - Oximetry effectively detects oxygen desaturation and
hypoxemia
- Supplemental oxygen should be present when sedation/analgesia is
administered
Hemodynamics Ans: Regular monitering of vital signs in 5 min intervals, once
sedation is established.
Anesthetic induction agents Ans: Propofol
Methohexital
Ketamine
Propofol and ketamine Ans: - can provide moderate sedation
- avoiding these meds will decrease likelyihood of adverse outcomes though
JCAHO Agenda for Moderate Sedation Ans: Standards held for sedated
patients under anesthesia care must apply to all sedated patients - Regardless
of care giver
Goals of Moderate Sedation Ans: 1. Patient Responds to tactile stimulation
2. Maintains a Patient Airway
3. Maintains protective reflexes
, 3|Page
4. Maintains CV homeostasis
Sedation Continuum Ans: Moderate Sedation -> Deep Sedation -> General
Moderate sedation signs Ans: purposeful response to command or tactile
stimulation
Deep Sedation signs Ans: not easily aroused, may have purposeful response
to strong stimulation, risk of ventilation/airway, and CV compromise
ASA classification Ans: 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 Ans: - Airway
- Respiratory system
Moderate Sedation Questions
with Correct Answers 100%
Correct Graded A+
Moderate sedation Ans: Patients requiring temporary sedation to facilitate
diagnostic or therapeutic procedure
Sedation Ans: any medication with sedative/hypnotic properties is capble of
altering conciousness or protective reflexes
Training for Personnel Ans: Should be able to recognize complications and be
capable of establishing a patient airway and positive pressure ventilation
Patient Monitor Ans: 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 Ans: Level of consciousness:
- Response of patient to commands is a guide to level of consciousness.
- Spoken = breathing
- Reflex only = deep sedation
Pulmonary Ventilation:
,2|Page
- Primary causes of morbidity are drug induced respiratory depression and
airway obstruction
Oxygenation Ans: - Oximetry effectively detects oxygen desaturation and
hypoxemia
- Supplemental oxygen should be present when sedation/analgesia is
administered
Hemodynamics Ans: Regular monitering of vital signs in 5 min intervals, once
sedation is established.
Anesthetic induction agents Ans: Propofol
Methohexital
Ketamine
Propofol and ketamine Ans: - can provide moderate sedation
- avoiding these meds will decrease likelyihood of adverse outcomes though
JCAHO Agenda for Moderate Sedation Ans: Standards held for sedated
patients under anesthesia care must apply to all sedated patients - Regardless
of care giver
Goals of Moderate Sedation Ans: 1. Patient Responds to tactile stimulation
2. Maintains a Patient Airway
3. Maintains protective reflexes
, 3|Page
4. Maintains CV homeostasis
Sedation Continuum Ans: Moderate Sedation -> Deep Sedation -> General
Moderate sedation signs Ans: purposeful response to command or tactile
stimulation
Deep Sedation signs Ans: not easily aroused, may have purposeful response
to strong stimulation, risk of ventilation/airway, and CV compromise
ASA classification Ans: 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 Ans: - Airway
- Respiratory system
