| 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 |
