10/21/25, 4:10 AM
Moderate Sedation Questions with Correct Answers 100%
Correct
Save
Terms in this set (59)
Patients requiring temporary sedation to facilitate diagnostic or
Moderate sedation
therapeutic procedure
any medication with sedative/hypnotic properties is capble of
Sedation
altering conciousness or protective reflexes
Should be able to recognize complications and be capable of
Training for Personnel
establishing a patient airway and positive pressure ventilation
an individual, other than the practiioner performin the procedure
should be present to monitor the patient through the operation
Patient Monitor
with sedation/analgesia during moderate sedation. they MAY
assist with minor, interruptable tasks one pation is stablized
Level of consciousness:
- Response of patient to commands is a guide to level of
consciousness.
- Spoken = breathing
Monitering Guildilnes - Reflex only = deep sedation
Pulmonary Ventilation:
- Primary causes of morbidity are drug induced respiratory
depression and airway obstruction
- Oximetry effectively detects oxygen desaturation and
hypoxemia
Oxygenation
- Supplemental oxygen should be present when
sedation/analgesia is administered
Regular monitering of vital signs in 5 min intervals, once sedation
Hemodynamics
is established.
Propofol
Anesthetic induction agents Methohexital
Ketamine
1/9
, 10/21/25, 4:10 AM
- can provide moderate sedation
Propofol and ketamine - avoiding these meds will decrease likelyihood of adverse
outcomes though
JCAHO Agenda for Moderate Standards held for sedated patients under anesthesia care must
Sedation apply to all sedated patients - Regardless of care giver
1. Patient Responds to tactile stimulation
2. Maintains a Patient Airway
Goals of Moderate Sedation
3. Maintains protective reflexes
4. Maintains CV homeostasis
Sedation Continuum Moderate Sedation -> Deep Sedation -> General
Moderate sedation signs purposeful response to command or tactile stimulation
not easily aroused, may have purposeful response to strong
Deep Sedation signs
stimulation, risk of ventilation/airway, and CV compromise
I Normal, healthy
II Mild systemic disease - no
limitation in daily activity
III Significant systemic
disease - limits daily
ASA classification
activity
IV Life threatening systemic
disease
V Pre-morbid condition
VI Organ harvest
- Airway
Special Emphasis for Evaluation
- Respiratory system
and Anesthetic Plan
- Cardiovascular system
Physical Exam
History
Anatomical changes
Airway Assesment Diagnostic testing
Mallampati Classification
Theyromental Distance
Atlanto-occiptal joint distance
- Previous problems with anesthesia or sedation
Airway Assessment: History - Sleep apnea, stridor, snoroing
- RA
Significant obesity?
Short Neck?
Airway Assessment: PE
Small mouth opnening?
Jaw issues?
2/9
Moderate Sedation Questions with Correct Answers 100%
Correct
Save
Terms in this set (59)
Patients requiring temporary sedation to facilitate diagnostic or
Moderate sedation
therapeutic procedure
any medication with sedative/hypnotic properties is capble of
Sedation
altering conciousness or protective reflexes
Should be able to recognize complications and be capable of
Training for Personnel
establishing a patient airway and positive pressure ventilation
an individual, other than the practiioner performin the procedure
should be present to monitor the patient through the operation
Patient Monitor
with sedation/analgesia during moderate sedation. they MAY
assist with minor, interruptable tasks one pation is stablized
Level of consciousness:
- Response of patient to commands is a guide to level of
consciousness.
- Spoken = breathing
Monitering Guildilnes - Reflex only = deep sedation
Pulmonary Ventilation:
- Primary causes of morbidity are drug induced respiratory
depression and airway obstruction
- Oximetry effectively detects oxygen desaturation and
hypoxemia
Oxygenation
- Supplemental oxygen should be present when
sedation/analgesia is administered
Regular monitering of vital signs in 5 min intervals, once sedation
Hemodynamics
is established.
Propofol
Anesthetic induction agents Methohexital
Ketamine
1/9
, 10/21/25, 4:10 AM
- can provide moderate sedation
Propofol and ketamine - avoiding these meds will decrease likelyihood of adverse
outcomes though
JCAHO Agenda for Moderate Standards held for sedated patients under anesthesia care must
Sedation apply to all sedated patients - Regardless of care giver
1. Patient Responds to tactile stimulation
2. Maintains a Patient Airway
Goals of Moderate Sedation
3. Maintains protective reflexes
4. Maintains CV homeostasis
Sedation Continuum Moderate Sedation -> Deep Sedation -> General
Moderate sedation signs purposeful response to command or tactile stimulation
not easily aroused, may have purposeful response to strong
Deep Sedation signs
stimulation, risk of ventilation/airway, and CV compromise
I Normal, healthy
II Mild systemic disease - no
limitation in daily activity
III Significant systemic
disease - limits daily
ASA classification
activity
IV Life threatening systemic
disease
V Pre-morbid condition
VI Organ harvest
- Airway
Special Emphasis for Evaluation
- Respiratory system
and Anesthetic Plan
- Cardiovascular system
Physical Exam
History
Anatomical changes
Airway Assesment Diagnostic testing
Mallampati Classification
Theyromental Distance
Atlanto-occiptal joint distance
- Previous problems with anesthesia or sedation
Airway Assessment: History - Sleep apnea, stridor, snoroing
- RA
Significant obesity?
Short Neck?
Airway Assessment: PE
Small mouth opnening?
Jaw issues?
2/9
