Moderate Sedation In-Service
Training SOLUTIONS GRADE A+
ACCREDITED
Practitioners performing moderate sedation must have all the skills
to provide support to a patient in a state of deep sedation.
TRUE
The Joint Commission standards on sedation and anesthesia apply
whenever a patient receives moderate sedation, deep sedation, or
general anesthesia. They do not apply when patients receive
anxiolysis/minimal sedation.
TRUE
The RN giving moderate sedation to the patient should not be
scheduled to be involved in duties other than continuous monitoring
of the patient.
TRUE
Case Scenario 1: A 70-year-old 80 kg male is scheduled for cystoscopy
and prostate biopsies for prostatic hypertrophy. He has a long
history of hypertension and intermittent CHF treated with Lasix and
Digoxin. He also has an implanted pacemaker that was placed for his
history of heart block. Upon arrival to the clinic his B/P is 160/90,
HR 75, RR14 and O2 Sat 96% on room air. Per physician order the
patient receives Valium 10mg p.o. and is transferred to the procedure
room 30 min. later. The patient feels relaxed and he moves to the
exam table himself. B/P 150/80, HR 70, O2 Sat 95 Percent on room air.
This case report is an example for:
minimal sedation
A pre-sedation assessment needs to include all of the following
except:
hematocrit
A 62-year-old 100 kg man with chronic alcoholism and acute
hematemesis is scheduled for an upper endoscopy. On admission his
mental status is described as alert and oriented. B/P 140/90, HR 110.
His Hct is 27. Upon arrival to the GI suite the patient is placed on
all monitors. He receives oxygen at 2 liters/min. by nasal cannula
and is sedated with Demerol 50mg x 2 IV. The patient is sleepy, but
easy to arouse and follows commands. His O2 Sat. is 96% and he shows
no signs of airway obstruction. Ten minutes into the procedure the
patients' B/P dropped briefly to 86/45 and his HR is 110.
Training SOLUTIONS GRADE A+
ACCREDITED
Practitioners performing moderate sedation must have all the skills
to provide support to a patient in a state of deep sedation.
TRUE
The Joint Commission standards on sedation and anesthesia apply
whenever a patient receives moderate sedation, deep sedation, or
general anesthesia. They do not apply when patients receive
anxiolysis/minimal sedation.
TRUE
The RN giving moderate sedation to the patient should not be
scheduled to be involved in duties other than continuous monitoring
of the patient.
TRUE
Case Scenario 1: A 70-year-old 80 kg male is scheduled for cystoscopy
and prostate biopsies for prostatic hypertrophy. He has a long
history of hypertension and intermittent CHF treated with Lasix and
Digoxin. He also has an implanted pacemaker that was placed for his
history of heart block. Upon arrival to the clinic his B/P is 160/90,
HR 75, RR14 and O2 Sat 96% on room air. Per physician order the
patient receives Valium 10mg p.o. and is transferred to the procedure
room 30 min. later. The patient feels relaxed and he moves to the
exam table himself. B/P 150/80, HR 70, O2 Sat 95 Percent on room air.
This case report is an example for:
minimal sedation
A pre-sedation assessment needs to include all of the following
except:
hematocrit
A 62-year-old 100 kg man with chronic alcoholism and acute
hematemesis is scheduled for an upper endoscopy. On admission his
mental status is described as alert and oriented. B/P 140/90, HR 110.
His Hct is 27. Upon arrival to the GI suite the patient is placed on
all monitors. He receives oxygen at 2 liters/min. by nasal cannula
and is sedated with Demerol 50mg x 2 IV. The patient is sleepy, but
easy to arouse and follows commands. His O2 Sat. is 96% and he shows
no signs of airway obstruction. Ten minutes into the procedure the
patients' B/P dropped briefly to 86/45 and his HR is 110.
