Sedation Learning Module - Moderate
Sedation Quiz UPDATED Questions with
CORRECT Answers
Who may not be suitable for sedation? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - 1. Previous
problems with anesthesia or sedation
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? - CORRECT
ANSWER - 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 - CORRECT ANSWER - 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? - CORRECT ANSWER - 1. BP
2. EKG
3. RR
4. Pulse ox
5. LOC
6. O2 lpm
7. IV solution
8. HR/pulse
What are the side effects of opiates? - CORRECT ANSWER - 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? - CORRECT ANSWER - 1. analgesia
2. sedation
3. mood alteration
What happens when you give Morphine to a pain free individual? - CORRECT
ANSWER - N/V
Morphine - CVS
1. What commonly occurs when standing?
2. How is hypotension produced?
3. What typically develops from direct vagal nucleus stimulation? - CORRECT
ANSWER - 1. orthostatic hypotension
2. release of histmines (leads to bronchoconstriction)
3. bradycardia
Morphine - Ventilation/Respiration
1. What occurs as a side effect of Morphine? - CORRECT ANSWER - DECREASE in
RR, and INCREASE in Vt
Morphine - CNS Effects
1. How does the elevation of pC02 effect the respiratory center? - CORRECT ANSWER -
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? - CORRECT ANSWER - 1. angina
pectoris
2. renal failure pts are susceptible to accumulation of metabolites of morphine and subsequent
respiratory depression
Sedation Quiz UPDATED Questions with
CORRECT Answers
Who may not be suitable for sedation? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - 1. Previous
problems with anesthesia or sedation
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? - CORRECT
ANSWER - 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 - CORRECT ANSWER - 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? - CORRECT ANSWER - 1. BP
2. EKG
3. RR
4. Pulse ox
5. LOC
6. O2 lpm
7. IV solution
8. HR/pulse
What are the side effects of opiates? - CORRECT ANSWER - 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? - CORRECT ANSWER - 1. analgesia
2. sedation
3. mood alteration
What happens when you give Morphine to a pain free individual? - CORRECT
ANSWER - N/V
Morphine - CVS
1. What commonly occurs when standing?
2. How is hypotension produced?
3. What typically develops from direct vagal nucleus stimulation? - CORRECT
ANSWER - 1. orthostatic hypotension
2. release of histmines (leads to bronchoconstriction)
3. bradycardia
Morphine - Ventilation/Respiration
1. What occurs as a side effect of Morphine? - CORRECT ANSWER - DECREASE in
RR, and INCREASE in Vt
Morphine - CNS Effects
1. How does the elevation of pC02 effect the respiratory center? - CORRECT ANSWER -
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? - CORRECT ANSWER - 1. angina
pectoris
2. renal failure pts are susceptible to accumulation of metabolites of morphine and subsequent
respiratory depression
