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New Sedation Multiple Choice Questions > Sedation June Test > Flashcards

Sedation June Test Flashcards

1
Q

Define procedural conscious sedation

A

A medically controlled state of depressed consciousness where the patient retains the ability to continuously and independently maintain a patient airway and response appropriately to the physical and stimulation and verbal commands

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2
Q

Elevation assessment of airways include

Mouth opening

Neck extension

Mallampati score

Throymental distance

Non of above

All of above

A

All of the above

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3
Q

The pulse oximeter relies on principle that oxygenated and reduced HB have different light absorbances at 2 wavelengths

True

False

A

True

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4
Q

Peak onset of action after an IV dose of midozalam versed is 2-3 minutes 

True or false

A

True

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5
Q

During basic procedural sedation patient vital signs including level of consciousness should be documented every 15 minutes

True or false

A

False it should be documented every 10 minutes

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6
Q

Patients who have been given Benzodiazepines should be instructed to avoid operating a car, consuming alcohol or sign any legal paperwork for 24 hours after receiving medication

True or false

A

True

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7
Q

By it’s self versed is a potent respiratory inhibitor

True or false

A

False

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8
Q

Many adults have chronic PVC’s due to underlining cardiac and respiratory disease and caffeine intake

True or false

A

True

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9
Q

2.5mg of Midozalam has been administered over a period of five minutes to Titrate to affect administration should be no more than 1MG per minute to the maximum total dosage of 5MG

True or false

A

False / peak action is 2/3 minutes

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10
Q

Emergency treatment of oversedation with a benzodiazepine constricts of the following

Notify the physician MD should already be present access respiratory and cardiovascular status 

Intubate immediately

Have resuscitation equipment and flumazenil immediately available

All of the above

A

Notify the physician MD should already be present excess respiratory and cardiovascular status

Have resuscitation equipment and Flumazenil immediately available 

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11
Q

Which of the following is not characteristics of basic procedural sedation

Minimally depressed levels of consciousness

Airway protective refluxes are maintained

Pt easily aroused

Patient unable to respond appropriately to verbal and physical stimuli

A

Patient unable to respond appropriately to verbal and physical stimuli

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12
Q

The possible adverse effect of most concern when using midozalam is

Cardiac arrhythmias

Seizures

Respiratory depression

Flaccid paralysis 

A

Respiratory depression

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13
Q

Reversal of midozalam is produced by IV administration of

  1. 2 mg Flumazenil per 60 seconds
  2. 0mg Flumazenil per 60 seconds
  3. 1mg naltrexone titration to increase respirations
A

0.2mg Flumazenil per 60 seconds

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14
Q

Which of the following is not a narcotic

Sublimaze fentanyl

Ketorolac toradol (Toradol)

Meperidine (Demerol)

Morphine

A

Ketorolac (Toradol)

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15
Q

Adequate sedation has been achieved when the patient

Begins to Relax

No longer has a gag reflex

Can no longer initiate respirations

No longer response to painful stimuli 

A

Begins to relax

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16
Q

When benzodiazepines are combined with narcotics the risk of respiratory depression is decreased

True or false

A

False

17
Q

Which condition does not decrease the amount of midozalam needed to achieve sedation

Concurrent medication with narcotics

Age of the patient especially over 60

Acute alcohol intoxication

Obesity

A

Obesity

18
Q

Relative contraindications of procedural sedation include

Pregnancy

History of obstructive sleep apnea

Hypertension

Full stomach

Morbid obesity


A

Pregnancy

History of obstructive sleep apnoea

Full stomach

Morbid obesity

19
Q

The three main reasons for complications during IV procedural sedation are

Inappropriate patient selection

Unanticipated effect or response from patient or equipment

Not using continual monitoring

Overmedication

A

Overmedication

Unanticipated effect or response from patient or equipment

Inappropriate patient selection

20
Q

When the plan for sedation includes deep sedation there must be a minimum of one support person dedicated to continuous observation of patient

True or false

A

True

21
Q

A stable 61-year-old patient with type two diabetes peripheral vascular disease and mild nephropathy would have an ASA classification of

ASA1

ASA 11

ASA 111

ASA 1V

A

ASA 111

22
Q

Deep sedation is a medically controlled state of depression consciousness or unconsciousness in which

The patient is not easily arouse to physical or verbal stimuli

The patient is easily aroused to physical verbal stimuli

The patient may particularly or completely lose protective reflexes

The patient may completely lose the ability to independently maintain the airways 

A

The patient is not easily aroused a physical and verbal Simula

The patient may partially or completely lose protective refluxes

The patient may completely lose the ability to independently maintain the airways

23
Q

When a patient is deeply sedated is it appropriate to ask the monitoring personnel to leave the room to answer the phone ?

true or false

A

False

24
Q

Equipment needed for basic procedural sedation

Continuous oxygen saturation monitor

Intravenous access supplies

Supplemental oxygen and equipment to perform positive pressure ventilation i.e. ampoule bag anaesthesia procedural sedation must have intubation equipment available at bedside

Blood pressure monitoring equipment

Code 199 cart immediately accessible

Cardiac monitoring at physician discretion anaesthesia procedure sedation must have continuous ECG monitoring

Reversal agent shall be immediately available

Sedation equipment supplies all equipment and supplies must be suitable for the age and size of the patient being treated


A

All of the above is needed

25
Q

Adults who are to receive basic procedural sedation should be NPO for a period of four hours

true or false

A

False 6 hrs

26
Q

Signs of respiratory depression include

O2 sats 90% or 5% below base line
Respiratory rate 10 to 12
Dyspnea
Snoring 

A

All of the above APART from snoring

27
Q

Patient given reversal agent can be discharged as soon as VS are similar to baseline

True or false

A

False at least two hours away after reversal agent has been given

28
Q

Prior to discharge after the procedure the patient will be assessed according to the Aldrete scoring system A rating of 0,1 or 2 is given in the following areas circle that apply

Head lift chin up

Extremity movement

Respiration

Oxygen saturation

Blood pressure

Pulse rate

LOC

Skin colour

A

Extremity movement

Respiration
Blood pressure
Oxygen saturation
Skin colour

29
Q

If a reversal agent is administered recommended minimum time of observation from the time of administration is how many hours

123 or four

A

2

New Sedation Multiple Choice Questions (1 decks)

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