sedation ABPD
DESCRIBE YOUR PRE-SEDATION EVALUATION - correct answer ✔1.
NPO compliance
2. No recent upper respiratory issues (cough or cold).
3. ASA I or II
4. Airway analysis (tonsils, tongue size, patient weight, snoring, OSA)
5. Review treatment plan6. Informed consent
common sedation dosage for midazolam - correct answer ✔0.5mg/kg
What do you monitor sedation patients with? - correct answer ✔BP,
Pulse ox
capnography
clinical observation
stethoscope
WHAT ARE YOUR DISCHARGE CRITERIA FOR SEDATIONS? - correct
answer ✔Alert and awake responding to verbal commands,
vitals back to pre sedation
protective reflexes back
able to drink water
sit up unaided
Normal vitals for a 3-5 yr old - correct answer ✔Heart Rate = 80 - 120
beats/min• Respiratory Rate = 20 - 28 breaths/min• Systolic Blood Pressure =
You put on latex rubber dam and patient starts developing hives and
shortness of breath. what med do you consider giving and dosage: - correct
answer ✔Benadryl: diphenhydramine:
patients lip starts to swell and has trouble breathing/ gasping for air. what do
you give and dose? - correct answer ✔Epinephrine 1:1000 .01mg/kg every 5
min until rapid recovery
Hydroxyzine dose kids - correct answer ✔1-2 mg/kg, max 50mg
Chlorohydrate normal dosage pedo - correct answer ✔25-50mg/kg
Meperidine (Demerol) - correct answer ✔1.1 mg-kg
You have a oral sedation with Midzaolam and patient starts going into
respiratory depression what do you administer and how much? Also how long
after last dose does patient need monitored for? - correct answer
✔Flumazenil 0.01mg-0.02mg/kg repeated at 1 min doses not to
exceed .05mg/kg or 1 mg. 2 hours after last dose
Patient is sedated with meperidine and starts getting severe respiratory
depression how do you reverse it and with what? - correct answer
✔Naloxone 0.1mg/kg up to 2mg. Monitor for 2 hours after dose
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