Moderate Sedation 2024 Questions & Answers 100% Correct!

Levels of sedation - ANSWERS1) Minimal sedation. 2) Moderate sedation. 3) Deep sedation. 4) Anesthesia. Minimal sedation - ANSWERSPatient responds normally to verbal commands; coordination and physical coordination may be affected, but airway and ventilator responses are intact and cardiovascular function maintained. Moderate sedation - ANSWERSDepression of consciousness, responds to verbal commands alone or by light tactile stimulation. Spontaneous ventilation is adequate, no intervention required to maintain patent airway, cardiovascular function maintained. Reflex withdrawal from pain stimulus NOT considered purposeful movement. Deep sedation - ANSWERSDrug induced depression of consciousness, patient cannot be easily roused but responds purposely with repeated or painful stimulus. Ventilation may be impaired and may require assistance to maintain patent airway. Cardiovascular function maintained. Anesthesia - ANSWERSGeneral anesthesia, spinal anesthesia, or major regional anesthesia. Drug induced loss of consciousness in which patients are not arousable, even to painful stimuli. Ability to maintain ventilator function and patent airway is often impaired, positive pressure ventilation may be required. Cardiovascular function may be impaired. MAC (monitored anesthesia care) is specific for diagnostic or therapeutic procedures and may include varying levels of sedation. Areas allowed for moderate sedation WITH BENZOS AND NARCOTICS by credentialed caregivers (6) - ANSWERS1) Emergency department. 2) Radiology. 3) Endoscopy lab. 4) Cardiology. 5) ICU/PCU. 6) Specialty clinics. Areas allowed for moderate sedation WITH PROPOFOL AND KETAMINE ONLY (6) - ANSWERS1) Emergency department. 2) Oralmaxillofacial surgery clinic. 3) Cardiac cath lab. 4) Endoscopy unit. 5) ICU. 6) Operating rooms. Privileges for moderate sedation - ANSWERSLicensed independent practitioners credentialed in anesthesia, emergency medicine, oral surgery, and critical care will have moderate sedation privilege using narcotics, benzodiazepines, propofol, and ketamine. Residents must be supervised by an independent practitioner. RN's present must have BLS, ACLS, and moderate sedation competency (including knowledge of managing sedation and reversal agents and their contraindications and complications). Nurses req