Moderate Sedation Exam Questions Marking Scheme New Update (Verified Answers)

Moderate Sedation Exam Questions Marking Scheme New Update (Verified Answers) The administration of any medication with sedative/hypnotic properties capable of altering the state of consciousness and/or compromising protective reflexes - Moderate Sedation What is the monitoring guidelines for sedation? - - Level of consciousness - Pulmonary ventilation - Oxygenation - Hemodynamics (5 min intervals) Anesthetic induction agents used for sedation/analgesia - - Propofol, methohexital, and ketamine - Propofol and ketamine are supported by literature that they can be administered by non- anesthesiologists - Make sure to titrate to desired effect (incremental dosing) Moderate sedation? Deep sedation? - - Purposeful response to command or tactile stimulation - Not easily aroused, may have purposeful response to strong stimulation, risk of ventilation and CV compromise Goals of moderate sedation? - - Patient responds to tactile stimulation 2 | P a g e Katelyn Whitman© 2025, All Rights Reserved. - Maintains a patient airway - Maintains protective reflexes - Maintains CV homeostasis Risk classification for moderate sedation? - - The ASA Classification is used and important that this is documented on eval in all sedation cases Airway exam for mod sedation? - - Mallampati Thyromental distance - Atlanto-occipital joint distance Airway red flags? - - Obesity/sleep apnea - Limited opening/range of motion of neck - Receding mandible/overbite - Pathology/altered anatomy Respiratory red flags? - - Wheezing/chronic pulmonary disease - Pneumonia - Dyspnea on exertion/limited physical activity - Orthopnea/paroxysmal nocturnal Cardiovascular red flags? - - CAD/CHF - Baseline hypertension/hypotension - Arrhythmia 3 | P a g e Katelyn Whitman© 2025, All Rights Reserved. What are the vital signs and how often are they monitored? - - HR, BP, RR, and oxygen sat (also monitor EKG) - Every 5 minutes Names, dosages and times of all meds Fluid intake and outputs Vitals Procedures performed