Sedate Flashcards
These types of medications are used to facilitate invasive procedures, they prevent movement and decrease mean airway pressure?
Paralytics
What does NMBA stand for?
Neuromuscular Blocking Agent
Pancuronium, Vecuronium, & atracurium are examples of _______ agents.
A. Polarizing
B. Depolarizing
C. Non depolarizing
C. Non depolarizing
________ is currently the only depolarizing agent currently in use
Succinylcholine
_________ are often used to reduce anxiety & agitation.
Sedatives
Propofol is an example of \_\_\_\_\_\_ agent. A. Benzodiazapine B. Neuroleptic C. Anesthetic agent D. Opoids
C. Propofol is an anesthetic agent
Haloperidol is an example of \_\_\_\_\_\_\_ agent. A. Benzodiazapine B. Neuroleptic C. Anesthetic D. Opoid
B. Neuroleptic
Fentanyl is an example of \_\_\_\_\_\_ agent. A. Benzodiazapine B. Neuroleptic C. Anesthetic D. Opoid
Opoid
When assessing a patient under the Ramsey Scale and you find you patient to be anxious and agitated what should their score value be?
Level 1
If a patient is asleep, and has a sluggish response to stimuli what would they be rated under the Ramsey Scale?
Level 5
If a patient responds only to verbal commands what would his score be under the Ramsey scale?
Level 3
if a patient is cooperative, oriented, and tranquil what would his score be under the Ramsey scale?
Level 2
When a patient is asleep, and does not respond to stimuli what should their Ramsey score be?
Level 6
When a patient is asleep but has a brisk response to stimuli what is their score under the Ramsey scale?
Level 4
If you score between levels _____ and ______ on the Ramsey scale this indicates adequate sedation.
2 and 4
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.
F: a disadvantage is that it is non linear, does not allow for consideration of changing needs of patient
T or F: The Ramsey scale provides an objective scoring mechanism to assess patient sedation.
False; the ramsey scale is subjective
T or F: An advantage of the Ramsey Scale is that it is easy to perform
True
Name the 4 levels of sedation.
Minimal Sedation
Moderate Sedation
Deep Sedation
General Anesthesia
Conscious sedation is an example of _______ sedation (or which level)?
Moderate sedation
What level or levels of sedation may require assistance with airways & ventilation.
Level 3 deep sedation
Level 4 general anethesia
If your patient cannot easily be aroused but does respond to painful stimulation they are most likely under which level of sedation?
Level 3– deep sedation
If your patient is sedated & responding to verbal commands they should be under which level of sedation?
Level 1; minimal sedation
\_\_\_\_\_\_\_\_\_\_ should be used for rapid sedation of acutely agitated patients. A. Pentothal B. Propofol C. Midazolam D. Fentanyl
C. Midazolam (Versed)–note can also use valium or diazapam
What drug class is the sedative of choice in patients with head trauma?
Barbiturates
T or F: Sedation of a patient will relieve pain & anxiety
False; Sedatives only relieve anxiety
What is the drug class & trade name for Methohexital?
Brevital; Barbiturates
What is the drug class & trade name for propofol?
Diprivan
Non barbiturate: anesthetic
What is the drug class & trade name for Etomidate?
Amidate
Non barbiturate used for deep sedation
What is the trade name for Diazepam & drug class?
Valium;
Benzodiazepam
What is the trade name for Pentothal & drug class?
Thiopental
Barbiturate
What is the trade name for Lorazepam & drug class?
Ativan
Class: Benzodiazepam
What is the trade name & drug class for midazolam?
Versed
Class: benzodiazepam
What is the drug of choice for sedation for mechanically ventilated for more than 24hrs?
Ativan (lorazepam)
What can cause a prolonged recovery to patients on benzodiazepams?
kidney or liver impairment
T or F: Long term use of Ativan will not normally cause physical dependancy
False: physical dependance can occur when you stop the medication abruptly
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
B. Propofol (Diprivan)
This drug class depresses the CNS by binding to GABA receptors?
Benzodiazepine
This class of drug may be used on status epilepticus?
Barbiturate
This class of drug can be used as an anti-convulsant?
Benzodiazepine
This non barbiturate medication may be a good induction drug in the hemodynamicly unstably patient. A. Propofol B. Valium C. Amidate D. Ativan
C. Amidate
\_\_\_\_\_\_\_ 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. Propofol
\_\_\_\_\_\_\_ 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
B. Chloral Hydrate
Preferred analgesic in traumatic injury or prolonged procedures A. Morphine B. Fentanyl C. Propofol D. Meperidine
A. Morphine
Preferred analgesic in short procedures, can be used in hemodynamically compromised as minimal CV effects A. Morphine B. Fentanyl C. Propofol D. Meperidine
B. Fentanyl
Recommended drug to induce paralysis in hemodynamically stable critically ill patients because of low cost & rapid onset of action and short duration of action
Succinylcholine
Opoid of choice for patients with renal insufficiency and hemodynamic instability
Fentanyl
Ideal sedative when rapid awakening needed for neurological assessment
Propofol
Potent opoid analgesic with longer duration of action
Morphine
What drug can reverse the action of non depolarizing paralytics?
anticholinergic
Pain without obvious physical cause is _______.
psychogenic
\_\_\_\_\_\_ is the most accurate indicator of pain. A. Self reporting B. Lab tests C. patient history D. Objective assessment
A. self reporting
T or F: A patient’s age, ethnicity, and religion may affect his perception and behavioral response to pain.
True
