CORRECT Answers
anesthesia is a ____________________ - CORRECT ANSWER - continuum
continuum - CORRECT ANSWER - A continuous extent, succession, or whole, no part of
which can be distinguished from neighboring parts except by arbitrary division.
The continuum of depth of sedation (4) in order - CORRECT ANSWER - minimal
sedation, moderate sedation/conscious sedation, deep sedation/analgesia, general
anesthesia/anxiolysis
what are the causes of Hypertension - CORRECT ANSWER - pain, anxiety, stroke, heart
failure, mycardial infraction, hypertensive pt (not taken meds)
what do you do if a pt has hypertension? - CORRECT ANSWER - 1. figure out why
2. IV fluid drip
3. consider: adding local, giving more narcotic- fent, hydromorphone, morphine, demerol. a beta
blocker- esmolol, labetalol, metoprolol, an anti hypertensive- hydralazine
Minimal sedation (anxiolysis) - CORRECT ANSWER - the reduction or elimination of
anxiety.
moderate sedation (conscious sedation) - CORRECT ANSWER - a minimally depressed
level of consciousness.
what are the 2 ways moderate sedation can be administered - CORRECT ANSWER - 1)
enternal- involving the gastrointestinal tract and liver 2) parenteral- bypassing the
gastrointestinal tract and liver
, routes of administration of moderate sedation- enteral! - CORRECT ANSWER -
*reminder* enternal means involving gastrointestinal tract
•oral
•rectal
•sublingual
routes of administration of moderate sedation- parenteral! - CORRECT ANSWER -
*reminder* parenteral is bypassing the gastrointestinal tract and liver
•intravenous IV
•intramuscular IM
•intranasal IN
•subcutaneous
•intraosseous IO
•pulmonary
•sublingual
•transdermal
what are the advantages of enternal conscious sedation? - CORRECT ANSWER -
inexpensive, easy, sterile technique not required
what are the disadvantages of enteral conscious sedation? - CORRECT ANSWER - less
reliable dosing, level of sedation can be unpredictable, less secure route to patient, more difficult
to deal with medical emergencies, slow onset
what are some advantages of parenteral conscious sedation? - CORRECT ANSWER -
Quick onset, quick effects, reliable dosing, predictable effects, secure route to the patient, easier
and safer to deal with medical emergencies