Sedate

Question 1

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

Answer 1

Paralytics

Question 2

What does NMBA stand for?

Answer 2

Neuromuscular Blocking Agent

Question 3

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

Answer 3

C. Non depolarizing

Question 4

________ is currently the only depolarizing agent currently in use

Answer 4

Succinylcholine

Question 5

_________ are often used to reduce anxiety & agitation.

Answer 5

Sedatives

Question 6

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

Answer 6

C. Propofol is an anesthetic agent

Question 7

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

Answer 7

B. Neuroleptic

Question 8

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

Answer 8

Opoid

Question 9

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

Answer 9

Level 1

Question 10

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

Answer 10

Level 5

Question 11

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

Answer 11

Level 3

Question 12

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

Answer 12

Level 2

Question 13

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

Answer 13

Level 6

Question 14

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

Answer 14

Level 4

Question 15

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

Answer 15

2 and 4

Question 16

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.

Answer 16

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

Question 17

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

Answer 17

False; the ramsey scale is subjective

Question 18

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

Answer 18

True

Question 19

Name the 4 levels of sedation.

Answer 19

Minimal Sedation
Moderate Sedation
Deep Sedation
General Anesthesia

Question 20

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

Answer 20

Moderate sedation

Question 21

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

Answer 21

Level 3 deep sedation

Level 4 general anethesia

Question 22

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

Answer 22

Level 3– deep sedation

Question 23

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

Answer 23

Level 1; minimal sedation

Question 24

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

Answer 24

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

Question 25

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

Answer 25

Barbiturates

Question 26

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

Answer 26

False; Sedatives only relieve anxiety

Question 27

What is the drug class & trade name for Methohexital?

Answer 27

Brevital; Barbiturates

Question 28

What is the drug class & trade name for propofol?

Answer 28

Diprivan | Non barbiturate: anesthetic

Question 29

What is the drug class & trade name for Etomidate?

Answer 29

Amidate | Non barbiturate used for deep sedation

Question 30

What is the trade name for Diazepam & drug class?

Answer 30

Valium; | Benzodiazepam

Question 31

What is the trade name for Pentothal & drug class?

Answer 31

Thiopental | Barbiturate

Question 32

What is the trade name for Lorazepam & drug class?

Answer 32

Ativan | Class: Benzodiazepam

Question 33

What is the trade name & drug class for midazolam?

Answer 33

Versed | Class: benzodiazepam

Question 34

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

Answer 34

Ativan (lorazepam)

Question 35

What can cause a prolonged recovery to patients on benzodiazepams?

Answer 35

kidney or liver impairment

Question 36

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

Answer 36

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

Question 37

``` 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 ```

Answer 37

B. Propofol (Diprivan)

Question 38

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

Answer 38

Benzodiazepine

Question 39

This class of drug may be used on status epilepticus?

Answer 39

Barbiturate

Question 40

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

Answer 40

Benzodiazepine

Question 41

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

Answer 41

C. Amidate

Question 42

``` _______ 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 ```

Answer 42

A. Propofol

Question 43

``` _______ 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 ```

Answer 43

B. Chloral Hydrate

Question 44

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

Answer 44

A. Morphine

Question 45

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

Answer 45

B. Fentanyl

Question 46

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

Answer 46

Succinylcholine

Question 47

Opoid of choice for patients with renal insufficiency and hemodynamic instability

Answer 47

Fentanyl

Question 48

Ideal sedative when rapid awakening needed for neurological assessment

Answer 48

Propofol

Question 49

Potent opoid analgesic with longer duration of action

Answer 49

Morphine

Question 50

What drug can reverse the action of non depolarizing paralytics?

Answer 50

anticholinergic

Question 51

Pain without obvious physical cause is _______.

Answer 51

psychogenic

Question 52

``` ______ is the most accurate indicator of pain. A. Self reporting B. Lab tests C. patient history D. Objective assessment ```

Answer 52

A. self reporting

Question 53

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

Answer 53

True