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Navigating Moderate Sedation - A Comprehensive Question and Answer Package Providing Insights, Techniques, and Best Practices for Safe and Effective Patient Care.
[Show more]Navigating Moderate Sedation - A Comprehensive Question and Answer Package Providing Insights, Techniques, and Best Practices for Safe and Effective Patient Care.
[Show more]Sedation drug induced suppression of consciousness 
 
anesthesia the loss of consciousness and sensation 
 
Minimal Sedation/Anxiolysis: Responsiveness is? normal response to verbal commands, cognitive function and coordination may be impaired 
 
Minimal Sedation/Anxiolysis: 
Airway affected? Spont...
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Add to cartSedation drug induced suppression of consciousness 
 
anesthesia the loss of consciousness and sensation 
 
Minimal Sedation/Anxiolysis: Responsiveness is? normal response to verbal commands, cognitive function and coordination may be impaired 
 
Minimal Sedation/Anxiolysis: 
Airway affected? Spont...
What is moderate sedation drug induced depression of consciousness (sedatives/sedation+analgesia) then titrated 
 
Different names for moderate sedation conscious sedation, IV sedation,Procedural sedation 
 
Associated procedures for sedation Bronchoscopy, Eye procedures, Biopsies, Lipo 
 
Character...
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Add to cartWhat is moderate sedation drug induced depression of consciousness (sedatives/sedation+analgesia) then titrated 
 
Different names for moderate sedation conscious sedation, IV sedation,Procedural sedation 
 
Associated procedures for sedation Bronchoscopy, Eye procedures, Biopsies, Lipo 
 
Character...
Who may not be suitable for sedation? 1. Abnormalities of the major organ systems 
2. Drug allergies, current medications, and potential drug interactions 
3. Hx of tobacco, EtoH, or sustance use/abuse 
 
What patients are at risk with moderate sedation? 1. Uncooperative patients 
2. Mentally handic...
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Add to cartWho may not be suitable for sedation? 1. Abnormalities of the major organ systems 
2. Drug allergies, current medications, and potential drug interactions 
3. Hx of tobacco, EtoH, or sustance use/abuse 
 
What patients are at risk with moderate sedation? 1. Uncooperative patients 
2. Mentally handic...
Which of the following is not a characteristic of moderate sedation/ analgesia? 
a. Patient needs assistance with their ventilation. 
b. Patient is able to maintain their own airway. 
c. Patient is able to maintain their blood pressure. 
d. Patient is able to respond to verbal stimulation. a 
 
Whic...
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Add to cartWhich of the following is not a characteristic of moderate sedation/ analgesia? 
a. Patient needs assistance with their ventilation. 
b. Patient is able to maintain their own airway. 
c. Patient is able to maintain their blood pressure. 
d. Patient is able to respond to verbal stimulation. a 
 
Whic...
Indications for Moderate Sedation •Diagnostic procedures 
• 
•Minor surgery at the bedside 
• 
•Potentially painful procedures, such as cardioversion, chest tube insertion, or fracture reduction 
 
Objectives of Moderate Sedation •Mood alteration 
•Maintaining consciousness and coopera...
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Add to cartIndications for Moderate Sedation •Diagnostic procedures 
• 
•Minor surgery at the bedside 
• 
•Potentially painful procedures, such as cardioversion, chest tube insertion, or fracture reduction 
 
Objectives of Moderate Sedation •Mood alteration 
•Maintaining consciousness and coopera...
1.Your patient was over sedated and required the use of a reversal agents. Which of the following is true about reversal agents? 
A. a physician's order is not required 
B. An incident report must be completed 
C. The patient should be monitored for a minimum of 1-2 hours after the last administrat...
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Add to cart1.Your patient was over sedated and required the use of a reversal agents. Which of the following is true about reversal agents? 
A. a physician's order is not required 
B. An incident report must be completed 
C. The patient should be monitored for a minimum of 1-2 hours after the last administrat...
general anesthesia causes loss of sensation, consciousness, and reflexes 
injectable or inhalation 
 
local anesthesia causes loss of sensation without loss of consciousness (specific body area) 
 
Anesthesia Assessment risk factors: older adult more susceptible, airway patency, titrate carefully 
 ...
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Add to cartgeneral anesthesia causes loss of sensation, consciousness, and reflexes 
injectable or inhalation 
 
local anesthesia causes loss of sensation without loss of consciousness (specific body area) 
 
Anesthesia Assessment risk factors: older adult more susceptible, airway patency, titrate carefully 
 ...
Moderate sedation Patients requiring temporary sedation to facilitate diagnostic or therapeutic procedure 
 
Sedation any medication with sedative/hypnotic properties is capble of altering conciousness or protective reflexes 
 
Training for Personnel Should be able to recognize complications and be ...
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Add to cartModerate sedation Patients requiring temporary sedation to facilitate diagnostic or therapeutic procedure 
 
Sedation any medication with sedative/hypnotic properties is capble of altering conciousness or protective reflexes 
 
Training for Personnel Should be able to recognize complications and be ...
Moderate Sedation Defined: administration of any medication with sedative/hypnotic properties capable of altering the state of consciousness and/or compromising protective reflexes 
 
AMA Office-based Surgery 
Core Principle #10 Physicians 
administering or supervising moderate 
sedation/analgesia...
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Add to cartModerate Sedation Defined: administration of any medication with sedative/hypnotic properties capable of altering the state of consciousness and/or compromising protective reflexes 
 
AMA Office-based Surgery 
Core Principle #10 Physicians 
administering or supervising moderate 
sedation/analgesia...
moderate sedation goals anxiolysis, analgesia, amnesia, cardiopulmonary safety, facilitation of the procedure, rapid recovery 
 
risk factors for sedation intolerance **mostly respiratory problems** 
 
sleep apnea (airway obstruction develops easily); chronic use of oxygen; pulmonary hypertension (p...
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Add to cartmoderate sedation goals anxiolysis, analgesia, amnesia, cardiopulmonary safety, facilitation of the procedure, rapid recovery 
 
risk factors for sedation intolerance **mostly respiratory problems** 
 
sleep apnea (airway obstruction develops easily); chronic use of oxygen; pulmonary hypertension (p...
What is the reversal agent for Morphine administration? Naloxone 
 
Which of the following is true about the role of the RN during a procedure where moderate sedation is in use? assist with minor tasks, but shall not leave the room or assume other responsibilities that may leave the patient unattend...
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Add to cartWhat is the reversal agent for Morphine administration? Naloxone 
 
Which of the following is true about the role of the RN during a procedure where moderate sedation is in use? assist with minor tasks, but shall not leave the room or assume other responsibilities that may leave the patient unattend...
Which of the following is TRUE regarding criteria for transfer to a non-monitored unit and to a nurse that has not been trained in procedural sedation? The patient must be arousable to verbal commands or back to baseline. 
 
Which of the following effects is NOT a benefit of procedural sedation and ...
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Add to cartWhich of the following is TRUE regarding criteria for transfer to a non-monitored unit and to a nurse that has not been trained in procedural sedation? The patient must be arousable to verbal commands or back to baseline. 
 
Which of the following effects is NOT a benefit of procedural sedation and ...
Desired effects of moderate sedation To maintain intact reflex and to decrease anxiety, increase patient cooperation. 
 
Four levels of sedation Minimal/ANXIOLYSIS-a drug-induced state during which the patient response normally to verbal commands. Cognitive and coordination may be impaired but respi...
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Add to cartDesired effects of moderate sedation To maintain intact reflex and to decrease anxiety, increase patient cooperation. 
 
Four levels of sedation Minimal/ANXIOLYSIS-a drug-induced state during which the patient response normally to verbal commands. Cognitive and coordination may be impaired but respi...
Sedation (Minimal) Anxiolysis This policy is intended to support the safe care of pts that are prescribed and receive drugs for the purpose of anyiolysis prior to or during diagnostic and/or therapeutic procedures 
 
What is new is that physicians are not credentialed specifically for minimal sedati...
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Add to cartSedation (Minimal) Anxiolysis This policy is intended to support the safe care of pts that are prescribed and receive drugs for the purpose of anyiolysis prior to or during diagnostic and/or therapeutic procedures 
 
What is new is that physicians are not credentialed specifically for minimal sedati...
What permits early discovery of potential problems of moderate sedation? 
What does this allow to be instituted? 
What have many states enacted? -monitoring of appropriate physiological functions of a patient 
-corrective measures to be instituted at a time to effectively prevent serious complicat...
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Add to cartWhat permits early discovery of potential problems of moderate sedation? 
What does this allow to be instituted? 
What have many states enacted? -monitoring of appropriate physiological functions of a patient 
-corrective measures to be instituted at a time to effectively prevent serious complicat...
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. ...
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Add to cartModerate "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. ...
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 sa...
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Add to cartmoderate 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 sa...
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