with Correct Answers
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 impaired
Goals 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
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, 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