Complications of Conscious Sedation Flashcards
1
Q
List complications of cannulation (5)
A
- Venospasm
- Extravascular injection
- Intra-arterial injection
- Haematoma
- Fainting
2
Q
How to avoid venospasm
A
Warm gloves
Quick technique
3
Q
How to avoid extravascular injection
A
Test dose of saline
4
Q
IV patient complications
A
- Hyperresponders
- Hyporesponders
- Oversedation
- Allergic reaction
5
Q
Management of IV over sedation
A
ABC
No response then reverse with flumazenil 200ug then 100ug increments at 1 min intervals
6
Q
Avoid use of ____ when allergic reaction response
A
Flumazenil
7
Q
IS complications
A
Oversedation
Pt panics
8
Q
Signs of N2O overdose
A
- Patient discomfort
- Lack of cooperation
- Giggling
- Mouth breathing
- Nausea
- Vomiting
- Loss of consciousness
9
Q
Tx for N2O overdose
A
Decrease nitrous oxide by 5-10%
Do not remove nosepiece (diffusion hypoxia)
10
Q
List some drugs that increase the sedative effect of midazolam (4)
A
- Alcohol
- Opioids
- Erythromycin
- Recreational drugs
