| A | B |
|---|
| Term that means the same as conscious sedation... | Moderate sedation |
| The ENA position statement concerning conscious sedation states we can give these meds... | Etomidate, Propofol, Ketamine, Fentanyl, and Midazolam |
| Of the conscious sedation meds, which MUST be done only with a physician present? | Ketamine |
| Conscious sedation cannot be delegated to... | Anyone with credentials below an RN |
| Short acting sedative hypnotic; dose 0.3 mg/kg, induction time 5-10 min, myoclonus noted | Etomidate |
| IM or IV, dose 1-2 mg/KG IV or 4-10 mg/kg IM, lasts approx 30 min, side effects include increased BP, HR, tonic/clonic movements, N/V, and hypersalivation | Ketamine |
| Benzo, sedative; 1-2 mg IV; onset 1.5 min to 2H; watch for hypotension | Versed |
| Narcotic analgesic; 1-2 mcg/kg; lasts 30 min; watch for respiratory depression | Fentanyl |
| Induction agent; standard dose is 2 mg/kg; rapid onset, short duration; usually given as an infusion after a bolus; may cause hypotension and apnea | Propofol |
| Minimum number of personel to include... | 2; the operator and the monitor |
| One personnel member must have these credentials | ACLS |
| This member must have NO other responsibilities... | Monitoring nurse |
| Equipment needed for conscious sedation... | Ambu bag, suction, crash cart, oxygen, pulse ox, emergency resuscitative equipment/crash cart, ETCO2 monitor, nasal cannula |
| Normal range for CO2... | 35-45 mmHg |
| Consents needed... | anesthesia; medical or surgical procedures |
| Baseline monitoring criteria... | HR BP, RR, T, O2 sat, LOC |
| Documentation for meds... | route, site, time, drug, and dose |
| Ongoing assessments... | Done Q 5min to include HR, RR, O2 sat, (BP at clinicians judgement) |
| This must be continuous during the procedure, at least if the patient has a history of heart disease... | continuous EKG |
| Airway obstruction, decreased O2 sat, inadequate respirations signal this... | Oversedation |
| Reversal agent for narcotics... | narcan |
| Reversal agent for benzo's... | Romazicon |
| Interventions for oversedation... | Reversal agent, fluid bolus, oxygen via NRB or BVM, intubate if indicated |
| Post procedure monitoring... | Done by ACLS personnel to include BP, HR, RR, and O2 sat every 15min as well as activity, color, and neuro status |
| Score needed to discharge from monitoring status... | 8/10 |
