Moderate Sedation Certification exam questions and solutions

Moderate Sedation Certification exam questions and solutions
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.
Levels of Sedation Analgesia - 1. Minimal Sedation
2. Moderate Sedation/Analgesia
3. Deep Sedation/Analgesia
4. General Anesthesia
Minimal Sedation - 1. Patient is able to respond normally to verbal stimulation.
2. Airway and Spontaneous Ventilation is not affected and thus "normal"
3. Cardiovascular function is not affected
Moderate Sedation/Analgesia - 1. Patient responds to verbal or tactile stimulation
2. No intervention to maintain patent airway
3. Spontaneous ventilation is adequate
4. Cardiovascular function is usually maintained
Deep Sedation/Analgesia - 1. Patient responds to repeated or painful stimulation
2. May require intervention to maintain patent airway
3. Spontaneous ventilation may be inadequate
4. Cardiovascular function is usually maintained
General Anesthesia - 1. Patient cannot be aroused, even with painful stimuli
2. Intervention required to maintain patent airway
3. Spontaneous ventilation is frequently inadequate
4. Cardiovascular function may be impaired
Goals of Safe Sedation - 1. Maintain adequate ventilation, homeostasis, and circulation
2. Maintenance of appropriate level of consciousness
3. Promote comfort by elevating pain threshold
4. Patient Safety-be knowledgeable about possible consequences of respiratory
depression, airway obstruction, apnea, hypoxia, hypercapnia, bradycardia, asystole,
brain injury/death
5. Using the essential components required to conduct safe sedation
6. Understand the importance of a systematic approach to sedation that promotes
safety and efficacy.
Role of the Sedation Nurse - 1. Pre-op Nursing Assessment

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