Exam (elaborations)
MODERATE SEDATION EXAM QUESTIONS AND ANSWERS
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MODERATE SEDATION EXAM QUESTIONS AND ANSWERS
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MODERATESEDATION EXAM
QUESTIONS AND
ANSWERS
moderate sedation is a medically induced state of depressed consciousness: -
Answers- 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 - Answers- true
moderate sedation is the same as deep sedation - Answers- false
when administering moderate sedation, deep sedation or general anesthesia can result
- Answers- true
reasons that there should be a 2nd person in the procedure room to monitor the patient
are: - Answers- -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: - Answers-
-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 - Answers- false
it is important to ask pts what their allergies are before administering medications, even
if they have been asked on admission - Answers- true
, it is important to ask pts if they have had any prior reactions to sedation - Answers- 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 - Answers- true
when a pt is sedated, the pulse ox does not have to be on - Answers- false
versed (midazolam) is a sedative and amnesiac that is 2-4 times more potent than
diazepam (valium) and is reversed with romazicon (flumazenil) - Answers- 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) - Answers- true
narcan is used to reverse the effects of demerol and fentanyl - Answers- 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 -
Answers- 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 - Answers- 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 between each dose with a maximum
dose being 6 mg - Answers- true
the recommended dosage of demerol is 25 to 100 mg IV/IM with a max dose being 150
mg - Answers- true
the recommended dosage of fentanyl is 25-100 mcg for adults receiving moderate
sedation - Answers- true
the avg dose of narcan is 0.4 mg - 2 mg IV at 2-3 minutes to desired effect not to
exceed 10 mg total - Answers- true
Practitioners performing moderate sedation must have all the skills to provide support to
a patient in a state of deep sedation. - Answers- TRUE
The Joint Commission standards on sedation and anesthesia apply whenever a patient
receives moderate sedation, deep sedation, or general anesthesia. They do not apply
when patients receive anxiolysis/minimal sedation. - Answers- TRUE
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