Moderate Sedation Certification (Questions + Answers) Verified 100% Correct!!.

Moderate "Conscious" Sedation - Answer-A minimally depressed level of consciousness induced by the administration of pharmacologic agents in which the patient retains continuous and independent ability to maintain protective reflexes and a patent airway and to be aroused by physical or verbal stimulation. Levels of Sedation Analgesia - Answer-1. Minimal Sedation 2. Moderate Sedation/Analgesia 3. Deep Sedation/Analgesia 4. General Anesthesia Minimal Sedation - Answer-1. Patient is able to respond normally to verbal stimulation. 2. Airway and Spontaneous Ventilation is not affected and thus "normal" 3. Cardiovascular function is not affected Moderate Sedation/Analgesia - Answer-1. Patient responds to verbal or tactile stimulation 2. No intervention to maintain patent airway 3. Spontaneous ventilation is adequate 4. Cardiovascular function is usually maintained Deep Sedation/Analgesia - Answer-1. Patient responds to repeated or painful stimulation 2. May require intervention to maintain patent airway 3. Spontaneous ventilation may be inadequate 4. Cardiovascular function is usually maintained General Anesthesia - Answer-1. Patient cannot be aroused, even with painful stimuli 2. Intervention required to maintain patent airway 3. Spontaneous ventilation is frequently inadequate 4. Cardiovascular function may be impairedGoals of Safe Sedation - Answer-1. Maintain adequate ventilation, homeostasis, and circulation 2. Maintenance of appropriate level of consciousness 3. Promote comfort by elevating pain threshold 4. Patient Safety-be knowledgeable about possible consequences of respiratory depression, airway obstruction, apnea, hypoxia, hypercapnia, bradycardia, asystole, brain injury/death 5. Using the essential components required to conduct safe sedation 6. Understand the importance of a systematic approach to sedation that promotes safety and efficacy. Role of the Sedation Nurse - Answer-1. Pre-op Nursing Assessment 2. Intra-op Nursing Actions: medication administration; patient monitoring; patient safety; procedure specific 3. Post-op monitoring during recovery 4. Follow post-op d/c criteria 5. Explain post-d/c written instructions 6. Follow-up JCAHO Care Standard: Qualified Individuals conducting sedation must possess education, training, and experience in? - Answer-1. Evaluating patients prior to moderate or deep sedation 2. Rescuing patients who slip into a "deeper than desired" level of sedation or anesthesia 3. Managing a compromised airway during a procedure 4. Handling a compromised CV system during a procedure. Pre-Operative Nursing Assessment Steps - Answer-1. Chart Review 2. Patient Interview 3. Physical Exam and Review of Systems Pre-sedation Assessment Overview: Parts of the Assessment - Answer-1. NPO Status 2. Chief complaint 3. Current medications4. Drug allergies 5. H/O substance abuse 6. Concurrent medical problems 7. Communication Ability