Pharm 3 Exam Set 1-Sedation & Analgesia
UPDATED Exam Questions with
CORRECT Answers
5 General Indications for use of sedatives & analgesics - CORRECT ANSWER - 1)
Painful procedures
2) Produce amnesia
3) Adjunct use to NM blocks-Paralytics
*4) Primary purpose=Enhance physiologic stability
5) Facilitate terminal/palliative care
Characteristics/Physiological Effects of Minimal Sedation - CORRECT ANSWER - 1.
Normal response to verbal stimuli
Airway-Spontaneous Ventilation & CV Function remain Unaffected.
Effects of Moderate Sedation - CORRECT ANSWER - 1. Purposeful response to verbal or
tactile stimulation
2. Adequate Spontaneous Ventilation
3. Maintained CV function
4. No airway intervention required
Effects of Deep Sedation - CORRECT ANSWER - 1. Purposeful response with repeated
stimulation.
2. Airway intervention may be required
3. Spontaneous Ventilation may be inadequate
4. CV Function usually maintained
Effects of General Anesthesia - CORRECT ANSWER - 1. Unarousable even with painful
stimuli
, 2. Airway intervention required
3. Spontaneous Ventilation inadequate
4. CV function may be impaired
2 Main desired outcomes of sedative & analgesia use - CORRECT ANSWER - Dec.
adverse psychological responses
***Return patients to pre-sedation level of function
7 Important Risk Factors to Consider BEFORE Sedation - CORRECT ANSWER - 1.
Airway obstruction, history/obesity
2. Chronic Lung Disease
3. Poor Control of Airway Secretion
4. Craniofacial abnormalities
5. Myocardial Dysfunction-heart slows down
6. Altered neuro status
7. Acute Illness-such as MI
What is the MOST IMPORTANT Assessment that is performed BEFORE sedation? Why is this
assessment a PRIORITY? - CORRECT ANSWER - Focused Airway! It is a Priority
because we must minimize Aspiration risk.
What are 6 important components of sedation education? - CORRECT ANSWER - 1.
Duration
2. Variability of drug responses
3. Supportive & Alleviate concerns-educate family
4. Understand potential for sedation failure-diaphoresis & Elev. HR.
5. Consider alternatives
6. Potential for Adverse Events-dis-inhibition or uncooperative
What are the Minimum Fasting Periods in hours for the following:
UPDATED Exam Questions with
CORRECT Answers
5 General Indications for use of sedatives & analgesics - CORRECT ANSWER - 1)
Painful procedures
2) Produce amnesia
3) Adjunct use to NM blocks-Paralytics
*4) Primary purpose=Enhance physiologic stability
5) Facilitate terminal/palliative care
Characteristics/Physiological Effects of Minimal Sedation - CORRECT ANSWER - 1.
Normal response to verbal stimuli
Airway-Spontaneous Ventilation & CV Function remain Unaffected.
Effects of Moderate Sedation - CORRECT ANSWER - 1. Purposeful response to verbal or
tactile stimulation
2. Adequate Spontaneous Ventilation
3. Maintained CV function
4. No airway intervention required
Effects of Deep Sedation - CORRECT ANSWER - 1. Purposeful response with repeated
stimulation.
2. Airway intervention may be required
3. Spontaneous Ventilation may be inadequate
4. CV Function usually maintained
Effects of General Anesthesia - CORRECT ANSWER - 1. Unarousable even with painful
stimuli
, 2. Airway intervention required
3. Spontaneous Ventilation inadequate
4. CV function may be impaired
2 Main desired outcomes of sedative & analgesia use - CORRECT ANSWER - Dec.
adverse psychological responses
***Return patients to pre-sedation level of function
7 Important Risk Factors to Consider BEFORE Sedation - CORRECT ANSWER - 1.
Airway obstruction, history/obesity
2. Chronic Lung Disease
3. Poor Control of Airway Secretion
4. Craniofacial abnormalities
5. Myocardial Dysfunction-heart slows down
6. Altered neuro status
7. Acute Illness-such as MI
What is the MOST IMPORTANT Assessment that is performed BEFORE sedation? Why is this
assessment a PRIORITY? - CORRECT ANSWER - Focused Airway! It is a Priority
because we must minimize Aspiration risk.
What are 6 important components of sedation education? - CORRECT ANSWER - 1.
Duration
2. Variability of drug responses
3. Supportive & Alleviate concerns-educate family
4. Understand potential for sedation failure-diaphoresis & Elev. HR.
5. Consider alternatives
6. Potential for Adverse Events-dis-inhibition or uncooperative
What are the Minimum Fasting Periods in hours for the following:
