MODERATE SEDATION
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CERTIFICATION EXAM
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REVIEW QUESTIONS WITH
DETAILED ANSWERS // 100%
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GUARANTEED PASS
A+ GRADED
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, Indications for Moderate Sedation - ANS 1. Diagnostic procedures
2. Minor surgery at the bedside
3. Potentially painful procedures, such as cardioversion, chest tube insertion, or fracture
reduction
Objectives of Moderate Sedation - ANS 1. Mood alteration
2. Maintaining consciousness and cooperation
3. Decrease pain
4. Partial amnesia
5. Prompt and safe return to baseline and/or activities of daily living
....All accomplished while maintaining the patient's protective reflexes
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Moderate Sedation - ANS 1. Responsiveness: purposeful response to verbal or tactile
stimulation
2. Airway: no intervention required
3. Spontaneous ventilation: adequate
5. Propofol or ketamine: no
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4. Cardiovascular function: usually maintained
6. Privileged provider: physician credentialed for moderate sedation
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Deep Sedation - ANS 1. Responsiveness: purposeful response following repeated or
painful stimulation
2. Airway: intervention may be required
3. Spontaneous ventilation: may be inadequate
4. Cardiovascular function: usually maintained
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5. Propofol or ketamine: yes
6. Privileged provider: certified pediatric or adult intensivist, ED, physician, or
anesthesiologist performing the procedure (need airway specialist involved)
Protective Reflexes - ANS 1. Subconscious abilities of a person to clear the mouth of
secretions and prevent foreign bodies (emesis) from entering the lungs via aspiration or
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coughing
2. Presence of protective reflexes is NOT a sufficient assessment of the patient's status
Performing Moderate Sedation in the ICU Indications - ANS 1. Procedures performed
on non-intubated patients
2. Procedures performed on intubated or trached patients on the ventilator (trach collar
& CPAP are not enough support for deep sedation)
Nursing Responsibilities and Moderate Sedation - ANS 1. Pre-procedural assessment