Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
40 Cards in this Set
- Front
- Back
1840 what type of sedation agents were used?
|
Inhalation
|
|
What might be the #1 goal for Procedural Sedation?
|
Safety
|
|
If a have an order House Protocol that states I as the RN “must”, complete this task…is it optional?
|
No! You must complete task.
|
|
If I have an order from House Protocol that states I as the Rn “may” complete this task is it an option?
|
Yes, the task does not have to be completed.
|
|
Anxiolysis require what kind of monitoring?
|
O2 and Pulse rate
|
|
True or False Level II of Sedation is Moderate Sedation
|
True
|
|
Deep Sedation is which Level of Sedation?
|
Level III
|
|
True or False During Deep Sedation the PT has protective reflexes and is easily aroused
|
False loss of protective airway occurs and unable to arouse.
|
|
What are the agents that can be used for Deep Sedation
|
Anxiolytics, Sedative-analgesics
|
|
General Anesthesia is used when
|
Surgical
|
|
Before sedation can begin the Rn must has a __________ for the PT
|
Baseline
|
|
List some of the things needed as far as documentation is concerned before sedation can occur?
|
Record of NPO status ( last food & fluid), Vital Signs, Informed consent, Allergy, Hx of Sedation & events
|
|
What does DEMOS stand for related to Sedation?
|
Drugs, Emergency, Monitoring, Oxygen, Suction
|
|
What does a Capnography measure?
|
Exhaled volume of CO2
|
|
What type of monitoring must take place for a Level II Moderate Sedation?
|
VS every 5min, ETCo2, EKG,
|
|
What type of monitoring for Level III Deep Sedation?
|
VS every 5min, ETCo2, EKG, Access to Defibrillator, IV access
|
|
True or False there is an antidote for Barbiturates such as Pentobarbital?
|
False, There is NO antidote!
|
|
True or False Barbiturates also have analgesia properties as well as sedation?
|
False Sedation Only!!
|
|
If you over sedated a PT with Pentobarbital what action could you take?
|
Ambu Bag until Drugs wear off.
|
|
Versed is what class of drug?
|
Benzo
|
|
What is the Antidote for Versed?
|
Flumzaenil
|
|
What is important to know about Flumzaenil
|
Give Slowly 1-2 min, May cause SZ, Rapid Onset 1hr duration.
|
|
SZ could be caused by given the antidote..what is _____________?
|
Flumazenil
|
|
What is the loading does for Morphine ____ to ____ mg/kg slowly?
|
0.05 to 0.1
|
|
What is the antidote for to reverse the effects of morphine?
|
Narcan (Nalaxone)
|
|
This Opiate is 100 time stronger then morphine and is used for analgesia, & sedation?
|
Fentanyl
|
|
This anesthetic is mainly used for children, s/e for adults are thing like psychosis…drug is
|
? Ketamine note it can be used in adults if pretreated with versed.
|
|
What is the antidote for Fentanyl
|
Narcan
|
|
When Ketamine is used as an anesthetic it tend to cause increased secretion, can you pre-treat with?
|
Glycopyrolate
|
|
When this drug is administer for sedation and analgesia it should be pushed slowly, note it can cause skeletal muscle or chest wall rigidity?
|
Fentanyl
|
|
If my patent has been sedated and has his eyes are wide open what might he have been given?
|
Ketamine
|
|
When Ketamine is given as a analgesic and a sedation agent which last longer the sedative agent or the analgesic?
|
Anaglesic
|
|
The Alpha 2 agent decreases norepi release, provides anaxiolysis, arousable sedation & analgesia while being delivered bucally?
|
Precedex
|
|
True or False Propofol should only be given to PT receiving fluids for hydration?
|
True
|
|
Propofol is short term or long term acting?
|
Short Term
|
|
What are the general sedation practices when an RN is preparing to sedate a pt?
|
Crash Cart, Ambu Bag, Antidote(Rescue Drug), Med’s Labeled, Suction, O2, VS Mont every 5 min, Charting, PT Baseline.
|
|
Bispectral Index Monitoring for an Awake adult =?
|
100
|
|
Bispectral Index Monitoring for general anesthesia is?
|
40-60 General Anesthesia
|
|
Propofol Infusion Syndrome (PRIS) can cause cardiac & renal failure as well as metabolic acidosis, True or False?
|
True
|
|
Propofol will cause Hypo or Hyper tension?
|
Hypo
|