Moderate Sedation Exam Latest Update Grades A+

Moderate Sedation Exam Latest Update Grades A+ 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 when administering moderate sedation, deep sedation or general anesthesia can result true reasons that there should be a 2nd person in the procedure room to monitor the patient are: - respiratory depression and upper airway obstruction are the most common causes of sedation catastrophes -early detection and treatment of airway problems are the goals of monitoring -cardiac arrest is a late manifestation of respiratory depression it is important that pts follow the pre-procedure fasting instructions because: -pulmonary aspirations of gastric contents can occur in pts who are moderately sedated pts who are older or have systemic disease might need more sedation than the average pt false it is important to ask pts what their allergies are before administering medications, even if they have been asked on admission true it is important to ask pts if they have had any prior reactions to sedation true snoring is a type of airway obstruction, and if it occurs the patient's head should be repositioned to open the airway as much as possible true when a pt is sedated, the pulse ox does not have to be on false versed (midazolam) is a sedative and amnesiac that is 2-4 times more potent than diazepam (valium) and is reversed with romazicon (flumazenil) true for the reversal of sedative effects of benzodiazepines administered for conscious sedation, the recommended initial dose of romazicon is 0.2 mg (2 mL) administered intravenously over 15 seconds. if the desired level of consciousness is not obtained after waiting an additional 45 seconds, a second dose of 0.2 mg (2 mL) can be injected and repeated at 60-second intervals where necessary (up to a maximum of 4 additional times) to a maximum total dose of 1 mg (10 mL) true narcan is used to reverse the effects of demerol and fentanyl true the lack of response to romazicon within 2-10 min strongly suggests that a benzodiazepine like versed is not the cause of oversedation or respiratory depression true when versed with fentanyl and/or demerol are given, the pt must be placed on a cardiac monitor with pulse ox and BP at least every 5 minutes true the recommended dosage of versed for adults is 1 mg IV initially, then may be titrated in 1 mg increments over 2 minutes with 2 minutes in