PSA in Adults Flashcards
(33 cards)
Use of anxiolytic, sedative, hypnotic & analgesic and/or dissociative meds to attenuate anxiety, pain &/or motion during diagnostic or therapeutic procedure
Procedural Sedation and Analgesia (PSA)
Anxiolysis w N or slowed response to stimuli
Minimal sedation
Depressed level of consciousness but w slowed purposeful motor response to verbal or tactile stimuli
Moderate sedation
State of detachment from immediate surroundings in w/c cortical centers are prevented from receiving sensory stimuli
Dissociation
Dissociative sedation is characterized by profound analgesia and amnesia w retention of protective airway reflexes, spontaneous respirations and cardiopulmonary stability. TRUE or FALSE?
TRUE
ED PSA agents producing dissociative sedation
Ketamine
Nitrous oxide
Profoundly depressed LOC w purposeful motor response ellicited after repeated painful stimuli
Deep sedation
Drug-induced LOC during w/c px are not arousable even by painful stimulation
General anesthesia
ASA class of healthy px
Class I
ASA class of pregnant women
Class II
ASA class of moderate - severe asthma
Class III
ASA class of controlled diabetes px
Class II
ASA class of premature infant w postconceptional age <60 wk
Class III
ASA class of obese px
Class II
ASA class of ESRD px
Class III
ASA Class of mild asthma
Class II
ASA class of pneumonia px
Class III
ASA class of sepsis & DIC px
Class IV
ASA class of severe cardiac dysfx px
Class IV
ASA class of px that are moribund & not expected to survive w/o surgery
ASA Class V
ASA class of px that have massive trauma
Class V
ASA class of px with intracranial hemorrhage w mass effect
Class V
ASA class of ischemic bowel w MOD
Class V
ASA Class of px who are declared brain dead but w organ for harvesting
Class VI
