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ACLS-Adv Cardiac > Sedate > Flashcards

Sedate Flashcards

1
Q

These types of medications are used to facilitate invasive procedures, they prevent movement and decrease mean airway pressure?

A

Paralytics

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2
Q

What does NMBA stand for?

A

Neuromuscular Blocking Agent

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3
Q

Pancuronium, Vecuronium, & atracurium are examples of _______ agents.
A. Polarizing
B. Depolarizing
C. Non depolarizing

A

C. Non depolarizing

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4
Q

________ is currently the only depolarizing agent currently in use

A

Succinylcholine

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5
Q

_________ are often used to reduce anxiety & agitation.

A

Sedatives

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6
Q 
Propofol is an example of \_\_\_\_\_\_ agent.
A.  Benzodiazapine
B.  Neuroleptic
C.  Anesthetic agent
D.  Opoids
A

C. Propofol is an anesthetic agent

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7
Q 
Haloperidol is an example of \_\_\_\_\_\_\_ agent.
A.  Benzodiazapine
B.  Neuroleptic
C.  Anesthetic
D.  Opoid
A

B. Neuroleptic

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8
Q 
Fentanyl is an example of \_\_\_\_\_\_ agent.
A.  Benzodiazapine
B.  Neuroleptic
C.  Anesthetic
D.  Opoid
A

Opoid

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9
Q

When assessing a patient under the Ramsey Scale and you find you patient to be anxious and agitated what should their score value be?

A

Level 1

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10
Q

If a patient is asleep, and has a sluggish response to stimuli what would they be rated under the Ramsey Scale?

A

Level 5

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11
Q

If a patient responds only to verbal commands what would his score be under the Ramsey scale?

A

Level 3

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12
Q

if a patient is cooperative, oriented, and tranquil what would his score be under the Ramsey scale?

A

Level 2

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13
Q

When a patient is asleep, and does not respond to stimuli what should their Ramsey score be?

A

Level 6

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14
Q

When a patient is asleep but has a brisk response to stimuli what is their score under the Ramsey scale?

A

Level 4

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15
Q

If you score between levels _____ and ______ on the Ramsey scale this indicates adequate sedation.

A

2 and 4

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16
Q

T or F: An advantage of the Ramsey scale is that it does not prescribe a specific sedative to address the changing needs of patients.

A

F: a disadvantage is that it is non linear, does not allow for consideration of changing needs of patient

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17
Q

T or F: The Ramsey scale provides an objective scoring mechanism to assess patient sedation.

A

False; the ramsey scale is subjective

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18
Q

T or F: An advantage of the Ramsey Scale is that it is easy to perform

A

True

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19
Q

Name the 4 levels of sedation.

A

Minimal Sedation
Moderate Sedation
Deep Sedation
General Anesthesia

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20
Q

Conscious sedation is an example of _______ sedation (or which level)?

A

Moderate sedation

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21
Q

What level or levels of sedation may require assistance with airways & ventilation.

A

Level 3 deep sedation

Level 4 general anethesia

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22
Q

If your patient cannot easily be aroused but does respond to painful stimulation they are most likely under which level of sedation?

A

Level 3– deep sedation

23
Q

If your patient is sedated & responding to verbal commands they should be under which level of sedation?

A

Level 1; minimal sedation

24
Q 
\_\_\_\_\_\_\_\_\_\_ should be used for rapid sedation of acutely agitated patients.
A.  Pentothal
B.  Propofol
C.  Midazolam
D.  Fentanyl
A

C. Midazolam (Versed)–note can also use valium or diazapam

25
Q

What drug class is the sedative of choice in patients with head trauma?

A

Barbiturates

26
Q

T or F: Sedation of a patient will relieve pain & anxiety

A

False; Sedatives only relieve anxiety

27
Q

What is the drug class & trade name for Methohexital?

A

Brevital; Barbiturates

28
Q

What is the drug class & trade name for propofol?

A

Diprivan

Non barbiturate: anesthetic

29
Q

What is the drug class & trade name for Etomidate?

A

Amidate

Non barbiturate used for deep sedation

30
Q

What is the trade name for Diazepam & drug class?

A

Valium;

Benzodiazepam

31
Q

What is the trade name for Pentothal & drug class?

A

Thiopental

Barbiturate

32
Q

What is the trade name for Lorazepam & drug class?

A

Ativan

Class: Benzodiazepam

33
Q

What is the trade name & drug class for midazolam?

A

Versed

Class: benzodiazepam

34
Q

What is the drug of choice for sedation for mechanically ventilated for more than 24hrs?

A

Ativan (lorazepam)

35
Q

What can cause a prolonged recovery to patients on benzodiazepams?

A

kidney or liver impairment

36
Q

T or F: Long term use of Ativan will not normally cause physical dependancy

A

False: physical dependance can occur when you stop the medication abruptly

37
Q 
This medication can be an alternative to a barbiturate in that it will cause deep sedation but it carries less airway reactivity.
A.  Versed
B.  Propofol
C.  Valium
D.  Ativan
A

B. Propofol (Diprivan)

38
Q

This drug class depresses the CNS by binding to GABA receptors?

A

Benzodiazepine

39
Q

This class of drug may be used on status epilepticus?

A

Barbiturate

40
Q

This class of drug can be used as an anti-convulsant?

A

Benzodiazepine

41
Q 
This non barbiturate medication may be a good induction drug in the hemodynamicly unstably patient.
A. Propofol
B.  Valium
C.  Amidate
D.  Ativan
A

C. Amidate

42
Q 
\_\_\_\_\_\_\_ is an ideal sedative when rapid awakening is important, such as for neurological assessment needed for extubation.
A. Propofol
B.  Valium
C.  Amidate
D.  Ativan
A

A. Propofol

43
Q 
\_\_\_\_\_\_\_ is a sedative/hypnotic used extensively in patients and on long procedures which carries minimal respiratory depression.
A. Propofol
B. Chloral hydrate
C.  Amidate
D.  Ativan
A

B. Chloral Hydrate

44
Q 
Preferred analgesic in traumatic injury or prolonged procedures
A.  Morphine
B.  Fentanyl
C.  Propofol
D.  Meperidine
A

A. Morphine

45
Q 
Preferred analgesic in short procedures, can be used in hemodynamically compromised as minimal CV effects
A.  Morphine
B.  Fentanyl
C.  Propofol
D.  Meperidine
A

B. Fentanyl

46
Q

Recommended drug to induce paralysis in hemodynamically stable critically ill patients because of low cost & rapid onset of action and short duration of action

A

Succinylcholine

47
Q

Opoid of choice for patients with renal insufficiency and hemodynamic instability

A

Fentanyl

48
Q

Ideal sedative when rapid awakening needed for neurological assessment

A

Propofol

49
Q

Potent opoid analgesic with longer duration of action

A

Morphine

50
Q

What drug can reverse the action of non depolarizing paralytics?

A

anticholinergic

51
Q

Pain without obvious physical cause is _______.

A

psychogenic

52
Q 
\_\_\_\_\_\_ is the most accurate indicator of pain.
A.  Self reporting
B.  Lab tests
C.  patient history
D.  Objective assessment
A

A. self reporting

53
Q

T or F: A patient’s age, ethnicity, and religion may affect his perception and behavioral response to pain.

A

True

ACLS-Adv Cardiac (10 decks)

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