IV sedation

Question 1

drug used in IV sedation

Answer 1

midazolam

Question 2

reversal drug

Answer 2

flumazenil

Question 3

IV sedation indications

Answer 3

dental anxiety
medical conditions aggravated by stress
behaviours that affect patient’s inability to coperate
special care requirements
strong gag reflex

Question 4

IV sedation contraindications

Answer 4

needle phobia
medical reasons
social reasons
pregnancy
poor venous access

Question 5

once you have secured the cannula what should you do

Answer 5

flush with saline
check for pain, swelling

Question 6

problems with cannulation

Answer 6

difficulty locating
veins collapse
veins tissue
cannula kinks

Question 7

how to administer midazolam

Answer 7

start with 1mg and wait 60 seconds
stop immediately if that patient complains of pain radiating down the forearm or towards the fingers as this indicated accidental injury into an artery
further 1mg increments are given every 60 seconds

Question 8

what is the sedation end point

Answer 8

relaxed demeanour - watched for feet to move apart, hands unclench
slowed response to commands
slurring of speech
Eve’s sign

Question 9

What is Eve’s sign

Answer 9

Eve’s sign in the context of sedation is a test of motor coordination where a patient attempts to touch their nose with a finger while their eyes are closed.