anxiety management and sedation Flashcards
what do we need to find out first in the assessment
the reason for sedation
expectation from sedation
fitness for sedation
likely suitability
social circumstance
what do we consider in the medical assessment
questionnaire
general examination
pulse,BP,O2
BMI
what is important about the BMI
find out what the cut off bmi is
what is the ASA classification
American society for anaesthesiology to deem if a patient is fit for IV conscious sedation
what is ASA grade 1
normal healthy pt
what is ASA grade 2
patient with systemic disease- well controlled asthma
what is ASA grade 3
patient with severe systemic disease
what is ASA grade 4
patient with severe systemic disease that is a constant treat to life
what is ASA grade 5
a moribund patient not expected to survive without the operation
what is ASA grade 6
a declared brain dead patient who’s organs are removed for donor procedure
what is important about the social history of the patient
to see if they have any caring responsibilities
and to discuss escort for the procedure
what do we advise patients on
the effects of sedation
nature and duration of effects
technique and equipment
needle phobics
need for escort
feeding and any medication
what do patients need to be mindful of
doing strenuous activity, social media posting and drinking alcohol for 24 hours post op
what should the patient do
• Ask any questions
• Meet the staff
• See the room
• See equipment- if they’d like
Sign consent documents
what do we check for on the day
• Check for health changes
• Check escort and transport
• Check other preparation- no alcohol in 24 hours before or any rec drugs
• Check consent
