Moderate Sedation Exam Questions and Answers 100% Pass

Moderate Sedation Exam Questions and Answers 100% Pass Minimal sedation (anxiolysis) - -Respond normally to verbal commands -Cognitive and coordination may be impaired -Ventilatory and circulatory systems intact Moderate Sedation (conscious sedation) - -Drug induced depression of consciousness -Respond purposefully to verbal commands on their own or with light tactile stimulation -spontaneous ventilation and circulatory system intact Deep Sedation - -Drug induced depression of consciousness in which patients cannot be easily aroused -respond purposefully with repeated/painful stimulation -Ventilation may/may not be impaired -Cardiovascular system intact General Anesthesia - -General, spinal, or major regional anesthesia -NOT local anesthesia -loss of consciousness where patients are not arousable -Often require assistance maintaining ventilation 2 | P a g e Katelyn Whitman© 2025, All Rights Reserved. -Cardiovascular may be impaired Narcotics used for moderate sedation - fentanyl (sublimaze), dilaudid (hydromorphone) and duramorph (morphine sulfate) Benzos used for moderate sedation - Versed (midazolam), Ativan (lorazepam) and Valium (diazepam) Who can administer medications for moderate sedation? - certified nurses in moderate sedation Which medications must by given by a provider if ordered IVP for moderate sedation? - Propofol, ketamine, etomidate Who must be at bedside with Residents administering moderate sedation? - Direct Attending Minimum fasting periods - clear liquids - 2 hrs breast milk - 4 hrs Infant formula - 6 hrs nonhuman milk - 6 hrs light meal - 6 hrs Under what circumstances can a nurse certified in moderate sedation give anesthetic agents (propofol, ketamine, etomidate)? - -patient is intubated/sedated in a CC area -when assisting provider in advanced airway management (ie emergent intubation) -when participating in advanced educational program (CRNA school) Pre-sedation documentation requirements - -complete assessment -HPI by appropriate provider 3 | P a g e Katelyn Whitman© 2025, All Rights Reserved. -NPO orders -consent -practitioners pre-sedation assessment -time out Peri-procedure Monitoring Responsibilities - -VS & ET monitoring q 5 min during and at conclusion of procedure -continuous pulse ox -cardiac monitoring -doseage, route, time, and effects of sedation medications -any interventions required and response to interventions Post-Procedure Monitoring Requirements - -VS must be stable compared to pre-procedure baseline -VS q 15 mins until baseline reached -Type and amount of fluids received When can you discharge a patient that received moderate sedation? - -Aldrete score of 9+ and within 1 point of baseline aldrete score -movement consistent with age, development and pre-sedat