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Med Surg 2 > Sedation > Flashcards

Sedation Flashcards

1
Q

LOC with minimal sedation

A

normal

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2
Q

airway with minimal sedation

A

unaffected

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3
Q

spontaneous ventilation CV function in minimal sedation

A

unaffected

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4
Q

LOC with moderate sedation

A

purposeful to verbal or tactile

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5
Q

Airway with moderate sedation

A

no intervention required

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6
Q

spontaneous ventilation Cv function with moderate sedation

A

adequate
usually maintained

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7
Q

LOC with deep sedation

A

purposeful after repeated or painful

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8
Q

airway with deep sedation

A

intervention may be required

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9
Q

spontaneous ventilation CV function with deep sedation

A

may be inadequate
usually maintained

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10
Q

LOC with general sedation

A

unarousable

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11
Q

airway with general sedation

A

intervention often required

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12
Q

spontaneous ventilation CV function with general sedation

A

frequently inadequate
may be impaired

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13
Q

pre sedation care
- who should we recognize?

A

risk factors = increase complications
high level of anxiety
comorb

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14
Q

what scale do we use for airway assessment

A

mallampati scale

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15
Q

what are some other preanesthetic thing we should assess for

A

medications
- herbal, street, benzodiazepines, opioids
CPAP
BMI

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16
Q

ASA classification scale

A

1-5

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17
Q

what is the ASA classification based on

A

health status

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18
Q

ASA class 1 criteria

A

normal healthy patient

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19
Q

ASA class 2 criteria

A

mild to moderate systematic disturbances

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20
Q

ASA class 3 criteria

A

severe systemic disturbance or disease

21
Q

ASA class 4 criteria

A

severe and life treating systemic disease

22
Q

ASA class 5 criteria

A

unlikely to survive without the planned procedure

23
Q

what ASA class?
- poorly controlled HTN

A

3

24
Q

what ASA class?
- unstable angina

A

4

25
Q

what ASA class?
- well controlled asthma

A

2

26
Q

what ASA class?
- angina

A

3

27
Q

what ASA class?
- ruptured aneurysm with severe shock

A

5

28
Q

what ASA class?
- well controlled diabetes

A

2

29
Q

what ASA class?
- anemia

A

2

30
Q

what ASA class?
- massive pulmonary embolism

A

5

31
Q

factors that make intubations more difficult

A

obesity with a short neck
inability to extend neck
facial abnormalities
mallampati score

32
Q

mallampti score levels

A

1-4

33
Q

who has the best airway, mallampati 1 or 4

A

1

34
Q

what does mallampati indicate

A

difficulty intubating

35
Q

what are the questions to ask if there is moderate or deep sedation

A

hospital policy?
ASA score
threshold for drug
how many medications and what they are

36
Q

what three medications are always considered moderate/deep sedation

A

propofol, ketamine, versed

37
Q

what happens if the medication is re dosed for the same procedure

A

monitor until back to baseline

38
Q

optimum sedation occurs when

A

no airway interventions are required

39
Q

all sedatives and narcotics casue

A

respiratory depression

40
Q

do sedatives and analgesics have a cumulative effect

A

yes

41
Q

effects of medications are what dependent

A

dose

42
Q

types of opioids

A

demerol
moprhine
fentynal

43
Q

types of benzos

A

versed
valium
Ativan

44
Q

what is the other medication that we need to know

A

propofol

45
Q

reversal agents for opioids

A

naloxone (narcan)

46
Q

reversal agents for benzo

A

flumazenil (romazicon)

47
Q

immediate interventions during intubation issues

A

stop sedation
check levels of consiousness
maintain airway

48
Q

how do we maintain airway when someone is extubated or intubation is not working

A

chin lift

49
Q

if a reversal agent is administers the patient must be observed for at least how long and what are we monitoring for

A

2 hours
changes in LOC and respiratory depression

Med Surg 2 (29 decks)

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