Moderate Sedation Actual Questions and Correct Answers
Q1
Moderate sedation
Answer: Patients requiring temporary sedation to facilitate diagnostic or therapeutic
procedure
Q2
Sedation
Answer: any medication with sedative/hypnotic properties is capble of altering
conciousness or protective reflexes
Q3
Training for Personnel
Answer: Should be able to recognize complications and be capable of establishing a
patient airway and positive pressure ventilation
Q4
Patient Monitor
Answer: 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
Q5
Monitering Guildilnes
Answer: Level of consciousness: Response of patient to commands is a guide to level
of consciousness. Spoken = breathing Reflex only = deep sedation Pulmonary
Ventilation: Primary causes of morbidity are drug induced respiratory depression and
airway obstruction
Q6
Oxygenation
Answer: Oximetry effectively detects oxygen desaturation and hypoxemia
Supplemental oxygen should be present when sedation/analgesia is administered
, Q7
Hemodynamics
Answer: Regular monitering of vital signs in 5 min intervals, once sedation is
established.
Q8
Anesthetic induction agents
Answer: Propofol Methohexital Ketamine
Q9
Propofol and ketamine
Answer: can provide moderate sedation avoiding these meds will decrease likelyihood
of adverse outcomes though
Q10
JCAHO Agenda for Moderate Sedation
Answer: Standards held for sedated patients under anesthesia care must apply to all
sedated patients - Regardless of care giver
Q11
Goals of Moderate Sedation
Answer: Patient Responds to tactile stimulation Maintains a Patient Airway Maintains
protective reflexes Maintains CV homeostasis
Q12
Sedation Continuum
Answer: Moderate Sedation -> Deep Sedation -> General
Q13
Moderate sedation signs
Answer: purposeful response to command or tactile stimulation
Q1
Moderate sedation
Answer: Patients requiring temporary sedation to facilitate diagnostic or therapeutic
procedure
Q2
Sedation
Answer: any medication with sedative/hypnotic properties is capble of altering
conciousness or protective reflexes
Q3
Training for Personnel
Answer: Should be able to recognize complications and be capable of establishing a
patient airway and positive pressure ventilation
Q4
Patient Monitor
Answer: 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
Q5
Monitering Guildilnes
Answer: Level of consciousness: Response of patient to commands is a guide to level
of consciousness. Spoken = breathing Reflex only = deep sedation Pulmonary
Ventilation: Primary causes of morbidity are drug induced respiratory depression and
airway obstruction
Q6
Oxygenation
Answer: Oximetry effectively detects oxygen desaturation and hypoxemia
Supplemental oxygen should be present when sedation/analgesia is administered
, Q7
Hemodynamics
Answer: Regular monitering of vital signs in 5 min intervals, once sedation is
established.
Q8
Anesthetic induction agents
Answer: Propofol Methohexital Ketamine
Q9
Propofol and ketamine
Answer: can provide moderate sedation avoiding these meds will decrease likelyihood
of adverse outcomes though
Q10
JCAHO Agenda for Moderate Sedation
Answer: Standards held for sedated patients under anesthesia care must apply to all
sedated patients - Regardless of care giver
Q11
Goals of Moderate Sedation
Answer: Patient Responds to tactile stimulation Maintains a Patient Airway Maintains
protective reflexes Maintains CV homeostasis
Q12
Sedation Continuum
Answer: Moderate Sedation -> Deep Sedation -> General
Q13
Moderate sedation signs
Answer: purposeful response to command or tactile stimulation
