Correct Answers 100% Correct
Moderate sedation - 🧠 ANSWER ✔✔Patients requiring temporary sedation
to facilitate diagnostic or therapeutic procedure
Sedation - 🧠 ANSWER ✔✔any medication with sedative/hypnotic properties
is capble of altering conciousness or protective reflexes
Training for Personnel - 🧠 ANSWER ✔✔Should be able to recognize
complications and be capable of establishing a patient airway and positive
pressure ventilation
Patient Monitor - 🧠 ANSWER ✔✔an individual, other than the practiioner
performin the procedure should be present to monitor the patient through
the operation with sedation/analgesia during moderate sedation. they MAY
assist with minor, interruptable tasks one pation is stablized
,Monitering Guildilnes - 🧠 ANSWER ✔✔Level of consciousness:
- Response of patient to commands is a guide to level of consciousness.
- Spoken = breathing
- Reflex only = deep sedation
Pulmonary Ventilation:
- Primary causes of morbidity are drug induced respiratory depression and
airway obstruction
Oxygenation - 🧠 ANSWER ✔✔- Oximetry effectively detects oxygen
desaturation and hypoxemia
- Supplemental oxygen should be present when sedation/analgesia is
administered
Hemodynamics - 🧠 ANSWER ✔✔Regular monitering of vital signs in 5 min
intervals, once sedation is established.
Anesthetic induction agents - 🧠 ANSWER ✔✔Propofol
, Methohexital
Ketamine
Propofol and ketamine - 🧠 ANSWER ✔✔- can provide moderate sedation
- avoiding these meds will decrease likelyihood of adverse outcomes
though
JCAHO Agenda for Moderate Sedation - 🧠 ANSWER ✔✔Standards held for
sedated patients under anesthesia care must apply to all sedated patients -
Regardless of care giver
Goals of Moderate Sedation - 🧠 ANSWER ✔✔1. Patient Responds to tactile
stimulation
2. Maintains a Patient Airway
3. Maintains protective reflexes
4. Maintains CV homeostasis
Sedation Continuum - 🧠 ANSWER ✔✔Moderate Sedation -> Deep
Sedation -> General
Moderate sedation signs - 🧠 ANSWER ✔✔purposeful response to
command or tactile stimulation
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