click below
click below
Normal Size Small Size show me how
sedation
pharm
Question | Answer |
---|---|
benzodiazepine | diazepam |
benzodiazepines are used for what purpose | sedation and antegrade amnesia |
patients undergoing TEE would likely receive | midazolam |
this is not considered a form of conscious sedation | reversed |
the antidote to benzodiazepine overdose is | romazicon |
sedatives are also called | anxiolytic |
equipment should be available when administering conscious sedation | a suction unit emergency supplies for cpr a self inflating positive pressure oxygen delivery system |
early warnings of adult respiratory compromise are | restlessness, agitation confusion tachycardia |
the goals of airway management are to anticipate and recognize respiratory and to support and replace those functions that are compromised | true |
these items need to be present b4 the administration of conscious sedation | relevant medical history pertinent physical examination including a heart, lung and airway exam appropriate consents |
protocol for notifying additional support services should be clearly identified in all areas providing conscious sedation | true |
these drugs are considered anesthesia rather than conscious sedation | fentanyl/sublimaze diprivan/propofol |
a patients medication history is an important component of preoperative evaluation because it | reveals: a patient's history of adverse reactions any disease states which may influence drug metabolism and excretion presents a medication profile which may reveal a potential for a drug reaction with a drug used intraoperatively or 4 sedation |
the purpose of using medications during an IV conscious sedation procedure is to | enhance patient comfort |
midazolam is used in IV conscious sedation procedure is to | allay anxiety |
in considering incremental doses of midazolam | the onset of slurred speech indicates a maximum dose |
flumazenil can produce symptoms of benzodiazepine withdrawal including agitation and seizures | true |
when opiates and benzodiazepines are used in combination | a dosage reduction is recommended |
because of the short duration of action of midazolam, a patient may drive home after procedure | false |
naloxone is a specific antagonist which | has a duration of action that is often shorter that that of opiates |
vital signs stable and documented a sedation scale score of two consecutive scores of 8 patient & family verbalize understanding of the discharge instructions | these things should be completed prior to discharging the patient |
the duration of action of the antagonist Flumazenil is shorter than the effects of many benzodiazepines | true |
brevital/methohexital | an ultrashort acting barbiturate with amnesic effect. works by depressing the RAS and enhances the neurotransmitter GABA |
versed | midazolam |
valium | diazepam |
adverse reactions | drowsiness mild hypotension ataxia rash lethargy nightmares dry mouth constipation |
idiosyncratic reaction | rage excitement hostility can be present |
heparin | displaces diazepam from protein binding sites & increases the drugs free concentration |
reversal agent | romazicon-flumazenil |