Moderation Sedation/Analgesia (Conscious Sedation)100% Correct!

Giving sedation safely is critical to: - ANSWERS- help prevent negative outcomes - comply with regulations - how moderate sedation relates to other types of anesthetic services, and how this relates to patient safety - how JCAHO expects accredited facilities to manage moderate sedation Sedation continuum levels - ANSWERS1. minimal sedation 2. moderate sedation 3. deep sedation 4. general anesthesia 5. significance minimal sedation - ANSWERSanxiolysis - the use of drugs to lessen anxiety without lessening awareness - pt feels relaxed, responds normally to speech, thinking and coordination may be affected, breathing and heart function are not affected moderate sedation / analgesia (formely "conscious sedation") - ANSWERS- patient has depression of consciousness - pt will respond purposefully to spoken words or spoken words w/ a light touch - for this definition, "purposeful" movement does not include reflex movement away from pain - the patient's breathing is adequate - heart function is usually maintained Deep Sedation (analgesia) - ANSWERS- patient has depression of consciousness and is difficult to awaken - the pt will respond purposefully to repeated or painful stimulation. reflex movement away from pain is not "purposeful" - the pt may need help to keep the airway open - the pt's own breathing my not be adequate - heart function is usually maintained General Anesthesia (deepest form of sedation) - ANSWERS- patient loses consciousness - the patient cannot be awakened, even by painful stimuli - the patient often needs assistance maintaining the airway and ventilations. Often requires positive pressure ventilation - heart function may be impaired