Sedation

Question 1

LOC with minimal sedation

Answer 1

normal

Question 2

airway with minimal sedation

Answer 2

unaffected

Question 3

spontaneous ventilation CV function in minimal sedation

Answer 3

unaffected

Question 4

LOC with moderate sedation

Answer 4

purposeful to verbal or tactile

Question 5

Airway with moderate sedation

Answer 5

no intervention required

Question 6

spontaneous ventilation Cv function with moderate sedation

Answer 6

adequate
usually maintained

Question 7

LOC with deep sedation

Answer 7

purposeful after repeated or painful

Question 8

airway with deep sedation

Answer 8

intervention may be required

Question 9

spontaneous ventilation CV function with deep sedation

Answer 9

may be inadequate
usually maintained

Question 10

LOC with general sedation

Answer 10

unarousable

Question 11

airway with general sedation

Answer 11

intervention often required

Question 12

spontaneous ventilation CV function with general sedation

Answer 12

frequently inadequate
may be impaired

Question 13

pre sedation care
- who should we recognize?

Answer 13

risk factors = increase complications
high level of anxiety
comorb

Question 14

what scale do we use for airway assessment

Answer 14

mallampati scale

Question 15

what are some other preanesthetic thing we should assess for

Answer 15

medications
- herbal, street, benzodiazepines, opioids
CPAP
BMI

Question 16

ASA classification scale

Answer 16

1-5

Question 17

what is the ASA classification based on

Answer 17

health status

Question 18

ASA class 1 criteria

Answer 18

normal healthy patient

Question 19

ASA class 2 criteria

Answer 19

mild to moderate systematic disturbances

Question 20

ASA class 3 criteria

Answer 20

severe systemic disturbance or disease

Question 21

ASA class 4 criteria

Answer 21

severe and life treating systemic disease

Question 22

ASA class 5 criteria

Answer 22

unlikely to survive without the planned procedure

Question 23

what ASA class?
- poorly controlled HTN

Answer 23

3

Question 24

what ASA class?
- unstable angina

Answer 24

4

Question 25

what ASA class? - well controlled asthma

Answer 25

2

Question 26

what ASA class? - angina

Answer 26

3

Question 27

what ASA class? - ruptured aneurysm with severe shock

Answer 27

5

Question 28

what ASA class? - well controlled diabetes

Answer 28

2

Question 29

what ASA class? - anemia

Answer 29

2

Question 30

what ASA class? - massive pulmonary embolism

Answer 30

5

Question 31

factors that make intubations more difficult

Answer 31

obesity with a short neck inability to extend neck facial abnormalities mallampati score

Question 32

mallampti score levels

Answer 32

1-4

Question 33

who has the best airway, mallampati 1 or 4

Answer 33

1

Question 34

what does mallampati indicate

Answer 34

difficulty intubating

Question 35

what are the questions to ask if there is moderate or deep sedation

Answer 35

hospital policy? ASA score threshold for drug how many medications and what they are

Question 36

what three medications are always considered moderate/deep sedation

Answer 36

propofol, ketamine, versed

Question 37

what happens if the medication is re dosed for the same procedure

Answer 37

monitor until back to baseline

Question 38

optimum sedation occurs when

Answer 38

no airway interventions are required

Question 39

all sedatives and narcotics casue

Answer 39

respiratory depression

Question 40

do sedatives and analgesics have a cumulative effect

Answer 40

yes

Question 41

effects of medications are what dependent

Answer 41

dose

Question 42

types of opioids

Answer 42

demerol moprhine fentynal

Question 43

types of benzos

Answer 43

versed valium Ativan

Question 44

what is the other medication that we need to know

Answer 44

propofol

Question 45

reversal agents for opioids

Answer 45

naloxone (narcan)

Question 46

reversal agents for benzo

Answer 46

flumazenil (romazicon)

Question 47

immediate interventions during intubation issues

Answer 47

stop sedation check levels of consiousness maintain airway

Question 48

how do we maintain airway when someone is extubated or intubation is not working

Answer 48

chin lift

Question 49

if a reversal agent is administers the patient must be observed for at least how long and what are we monitoring for

Answer 49

2 hours changes in LOC and respiratory depression