Sedation Learning Module - Moderate Sedation Quiz EXAM REAL EXAM 63 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |AGRADE

Sedation Learning Module - Moderate Sedation Quiz EXAM REAL EXAM 63 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |AGRADE Who may not be suitable for sedation? - 1. Abnormalities of the major organ systems 2. Drug allergies, current medications, and potential drug interactions 3. Hx of tobacco, EtoH, or sustance use/abuse What patients are at risk with moderate sedation? - 1. Uncooperative patients 2. Mentally handicapped patients 3. Patients with severe cardiac, pulmonary, hepatic, renal or central nervous disease 4. Morbidly obese patients 5. Patients with EtoH/drug abuse 6. Pregnant pts 7. Pts with hx of sleep apnea What are factors of difficult airway intubations? - 1. Previous problems with anesthesia or sedation 2 | P a g e Katelyn Whitman© 2025, All Rights Reserved. 2. Previous sx, trauma, radiation to the face/neck 3. Stridor, snoring, or sleep apnea 4. Dysmorphic facial features (Pierre Robin syndrome, trisomy 21) 5. Advanced rheumatoid arthritis What are factors of difficult a/w management in the physical examination? - 1. Significant obesity (neck/facial structures) 2. Head & neck: short neck, limited neck extension, decreased hyoid mental distance (<3 cm in an adult) 3. Mouth: small opening (<3 cm in adult); edentulous, protruding incisions, loose or capped teeth; high, arched palate; macroglossia; tonsillar hypertrophy; non-visible uvula 4. Jaw: micrognathia, retreognathia, trismus, significant malocclusion Ingested Material & Minimum Fasting Period - 1. Clear liquids - 2 hours 2. Breast milk - 4 hours 3. Infant formula/nonhuman milk/light meal - 6 hours 4. Heavy meal/fats - 8 hours What VS are recorded? - 1. BP 2. EKG 3. RR 4. Pulse ox 5. LOC 6. O2 lpm 3 | P a g e Katelyn Whitman© 2025, All Rights Reserved. 7. IV solution 8. HR/pulse What are the side effects of opiates? - 1. Respiratory depression 2. Cough suppression 3. Muscular rigidity 4. Histamine release 5. Itching 6. N/V 7. Constipation 8. Biliary colic 9. Urinary retention What are the effects of Morphine? - 1. analgesia 2. sedation 3. mood alteration What happens when you give Morphine to a pain free individual? - N/V Morphine - CVS 1. What commonly occurs when standing? 2. How is hypotension produced? 3. What typically develops from direct vagal nucleus stimulation? - 1. orthostatic hypotension 2. release of histmines (leads to bronchoconstriction) 4 | P a g e Katelyn Whitman© 2025, All Rights Reserved. 3. bradycardia Morphine - Ventilation/Respiration 1. What occurs as a side effect of Morphine? - DECREASE in RR, and INCREASE in Vt Morphine - CNS Effects 1. How does the elevation of pC02 effect the respiratory center? - It may increase cerebral blood flow and elevate intracranial pressure Morphine - Side Effects 1. What is biliary spasm typically confused with? 2. What body system should be carefully watched? - 1. angina pectoris 2. renal failure pts are susceptible to accumulation of metabolites of morphine and subsequent respiratory depression Meperidine (Demerol) What is the strength of Meperidine (Demerol) compared to