Moderate Sedation for Non-anesthsiologists Questions 100% Solved!

Objectives of Sedation Practice - ANSWER-Decrease Anxiety, pain, discomfort -Amnesia to the extent possible, but not guaranteed -Minimize risk (optimize risk/benefit ratio) -Rapid recovery Contraindications - ANSWERHistory of allergy to medications Hemodynamic instability High risk of pulmonary aspiration of gastric contents High risk of sedation failure, requiring assistance of anesthesiology service Minimal sedation - ANSWERResponse to stim: normal/minimal Airway: Normal/minimal Spontaneous ventiliation: Normal/minimal Vital Signs: normal/minimal Moderate Sedation - ANSWERResponse: verbal/tactile Airway: None Spontaneous Ventilation: Adequate Vital Signs: normal/minimal Deep Sedation - ANSWERResponse: tactile/pain Airway: intervention often required Spontaneous Ventilation: possibly adequate Vital Signs: normal/minimal General Anesthesia - ANSWERResponse: Unarousable Airway: Intervention Required Spontaneous Ventilation: Inadequate Vital signs: May be impaired Joint Commission Standards - ANSWERApplies to moderate, deep, general, spinal or other major regional anesthia 'Must be able to manage compromised airway' What sedation level does not need to adhere to joint commission standards? - ANSWERMinimal sedation EX: PO diazepam (valium) prior to MRI scan