Critical Care Exam Ii Cont'd

Front 1

1840 what type of sedation agents were used?

Back 1

Inhalation

Front 2

What might be the #1 goal for Procedural Sedation?

Back 2

Safety

Front 3

If a have an order House Protocol that states I as the RN “must”, complete this task…is it optional?

Back 3

No! You must complete task.

Front 4

If I have an order from House Protocol that states I as the Rn “may” complete this task is it an option?

Back 4

Yes, the task does not have to be completed.

Front 5

Anxiolysis require what kind of monitoring?

Back 5

O2 and Pulse rate

Front 6

True or False Level II of Sedation is Moderate Sedation

Back 6

True

Front 7

Deep Sedation is which Level of Sedation?

Back 7

Level III

Front 8

True or False During Deep Sedation the PT has protective reflexes and is easily aroused

Back 8

False loss of protective airway occurs and unable to arouse.

Front 9

What are the agents that can be used for Deep Sedation

Back 9

Anxiolytics, Sedative-analgesics

Front 10

General Anesthesia is used when

Back 10

Surgical

Front 11

Before sedation can begin the Rn must has a __________ for the PT

Back 11

Baseline

Front 12

List some of the things needed as far as documentation is concerned before sedation can occur?

Back 12

Record of NPO status ( last food & fluid), Vital Signs, Informed consent, Allergy, Hx of Sedation & events

Front 13

What does DEMOS stand for related to Sedation?

Back 13

Drugs, Emergency, Monitoring, Oxygen, Suction

Front 14

What does a Capnography measure?

Back 14

Exhaled volume of CO2

Front 15

What type of monitoring must take place for a Level II Moderate Sedation?

Back 15

VS every 5min, ETCo2, EKG,

Front 16

What type of monitoring for Level III Deep Sedation?

Back 16

VS every 5min, ETCo2, EKG, Access to Defibrillator, IV access

Front 17

True or False there is an antidote for Barbiturates such as Pentobarbital?

Back 17

False, There is NO antidote!

Front 18

True or False Barbiturates also have analgesia properties as well as sedation?

Back 18

False Sedation Only!!

Front 19

If you over sedated a PT with Pentobarbital what action could you take?

Back 19

Ambu Bag until Drugs wear off.

Front 20

Versed is what class of drug?

Back 20

Benzo

Front 21

What is the Antidote for Versed?

Back 21

Flumzaenil

Front 22

What is important to know about Flumzaenil

Back 22

Give Slowly 1-2 min, May cause SZ, Rapid Onset 1hr duration.

Front 23

SZ could be caused by given the antidote..what is _____________?

Back 23

Flumazenil

Front 24

What is the loading does for Morphine ____ to ____ mg/kg slowly?

Back 24

0.05 to 0.1

Front 25

What is the antidote for to reverse the effects of morphine?

Back 25

Narcan (Nalaxone)

Front 26

This Opiate is 100 time stronger then morphine and is used for analgesia, & sedation?

Back 26

Fentanyl

Front 27

This anesthetic is mainly used for children, s/e for adults are thing like psychosis…drug is

Back 27

? Ketamine note it can be used in adults if pretreated with versed.

Front 28

What is the antidote for Fentanyl

Back 28

Narcan

Front 29

When Ketamine is used as an anesthetic it tend to cause increased secretion, can you pre-treat with?

Back 29

Glycopyrolate

Front 30

When this drug is administer for sedation and analgesia it should be pushed slowly, note it can cause skeletal muscle or chest wall rigidity?

Back 30

Fentanyl

Front 31

If my patent has been sedated and has his eyes are wide open what might he have been given?

Back 31

Ketamine

Front 32

When Ketamine is given as a analgesic and a sedation agent which last longer the sedative agent or the analgesic?

Back 32

Anaglesic

Front 33

The Alpha 2 agent decreases norepi release, provides anaxiolysis, arousable sedation & analgesia while being delivered bucally?

Back 33

Precedex

Front 34

True or False Propofol should only be given to PT receiving fluids for hydration?

Back 34

True

Front 35

Propofol will cause Hypo or Hyper tension?

Back 35

Hypo

Front 36

Propofol is short term or long term acting?

Back 36

Short Term

Front 37

What are the general sedation practices when an RN is preparing to sedate a pt?

Back 37

Crash Cart, Ambu Bag, Antidote(Rescue Drug), Med’s Labeled, Suction, O2, VS Mont every 5 min, Charting, PT Baseline.

Front 38

Bispectral Index Monitoring for an Awake adult =?

Back 38

100

Front 39

Bispectral Index Monitoring for general anesthesia is?

Back 39

40-60 General Anesthesia

Front 40

Propofol Infusion Syndrome (PRIS) can cause cardiac & renal failure as well as metabolic acidosis, True or False?

Back 40

True