Moderate Sedation Study guides, Class notes & Summaries

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Levels of sedation - 1) Minimal sedation. 2) Moderate sedation. 3) Deep sedation. 4) Anesthesia. Minimal sedation - Patient responds normally to verbal commands; coordination and physical coordination may be affected, but airway and ventilator responses are intact and cardiovascular function maintained. Moderate sedation - Depression of consciousness, responds to verbal commands alone or by light tactile stimulation. Spontaneous ventilation is adequate, no intervention required to maintai...

Moderate "Conscious" Sedation - 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 - 1. Minimal Sedation 2. Moderate Sedation/Analgesia 3. Deep Sedation/Analgesia 4. General Anesthesia

Indications for Moderate Sedation - 1. Diagnostic procedures 2. Minor surgery at the bedside 3. Potentially painful procedures, such as cardioversion, chest tube insertion, or fracture reduction Objectives of Moderate Sedation - 1. Mood alteration 2. Maintaining consciousness and cooperation 3. Decrease pain 4. Partial amnesia

Minimal sedation (anxiolysis) - What level of sedation has normal response to verbal stimulation; airway ventilation, VC function intact? moderate sedation (conscious sedation) - What level of sedation depresses consciousness- patient responds purposefully to verbal commands or tactile stimulation airway, ventilation, CV function usually maintained? Deep Sedation - What level of sedation is loss of consciousness- patients not easily aroused, but reposed purposefully to repeated painful sti...

Sedation - Reduces the state of awareness; it does not relieve pain; may cause hypnosis Analgesia - Reduces or eliminates the perception of pain Amnesia - The inability to remember an event or experience. Minimal sedation - Normal response to verbal stimulation with a reduction in anxiety. This level may impair cognitive function and coordination, but ventilatory and CV functions remain intact.

hat properties do Benzos have - Amnestic, sedative, skeletal muscle relaxant and anticonvulsant properties Valium recommended doses - Initial bolts: 2.5mg-10 slowly Titrations: 2-5 every 5-10 min Maximum dosage: 20mg Major disadvantage of Valium and big contraindication? - Pain and venous irritation at injection site, Valium should not be diluted. Contraindicated with in pts with glaucoma Note-be careful with pts with limited renal/hepatic function Ativan - Painful on injection and must ...

moderate sedation is a medically induced state of depressed consciousness: - true when a pt is moderately sedated, he/she can maintain his/her airway, age appropriate responses to verbal and tactile stimuli are present and protective airway reflexes are preserved - true moderate sedation is the same as deep sedation - false

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