IV sedation with midazolam Flashcards
T/F IV sedation with midazolam can be used to relieve people with higher levels of anxiety?
T
What are the indications to IV sedation with midazolam?
When other techniques are contraindicated and when amnesia is wanted
T/F Midazolam provides amnesia?
T
What are the pre-op instructions given to someone prior to having sedation?
Escort Travel by car or taxi normal medications and normal times light meal (no alcohol) 2 hours before appointment no children to appt sensible clothing avoid nail varnish and artificial nails
What are the post-op instructions for sedation?
Until 24 hours after treatment cannot drive motorised vehicles operate machinery sign legal documents responsble for looking after children drink alcohol or take recreatinal drugs
What should you use to confirm the position of the venous cannulation site?
A flush dose with saline
When should the pulse oximteter be checked?
before you have given the drug to the patient
How should the midazolam be titrated?
in increments of 1 or 2 mg followed by 1mg each minute therafter
When you give the midazolam initially what it the effect on the body?
there is an initial deep sedation which lasts for 10-12 mins followed by gradual recovery
How many minutes of useful sedation is there?
25-45 minutes of useful sedation (first 25 mins best quality)
What should you monitor during sedation?
level of consciousness
respiration
pulse rate
oxygen saturation
When providing treatment under IV sedation which treatment should be done first?
the treatment that the patient likes the least
T/F you need to use LA in sedated pateints?
T
What are the equipment needed for sedation?
syringes needles cannulae tape tourniquet alcohol wipes monitoring equipment Stop watch Pulse oximeter Bloood pressure monitior Emergency eqipment antagonist drug
