Anesthetia policy
Which of the following intervals is the minimum period of time a patient with suspected (obstructive sleep apnea) OSA should be observed following procedural sedation?
2 Hours
How long must patients avoid solid food prior to an elective procedure under moderate sedation?
8 hours
The adult patient is scheduled for procedural sedation at 2:00 PM. Which of the following is consistent with the NPO guidelines for procedural sedation?
8 ounces of black coffee at 11:00 AM
During procedural sedation, patient vital signs (heart rate, respiratory rate, blood pressure, pulse oximetry) MUST be documented prior to the procedure and at what frequency DURING procedural sedation?
???
The following drugs are PROHIBITED during moderate sedation EXCEPT:
???
Prior to discharge home or transfer to a lesser level of care, which of the following criteria MUST be met:
All of the above
The RN monitoring sedation must have which of the following certifications/credentials?
All of the above
At what frequency should oxygen saturation be monitored DURING procedural sedation?
Continuously
Which of the following agents should be dosed in increments of 0.5 mcg/kg for the partial reversal of respiratory depression?
Naloxone
The combined administration of opioids and benzodiazepines increases the risk of respiratory depression due to synergy of the medications.
True
Which of the following conditions MUST be satisfied in order for the patient to be discharged home from a procedural sedation area?
A responsible adult is present to accompany the patient home
You are the monitor for a procedure under moderate sedation. Your patient is now unresponsive to tactile stimulation, ventilation is impaired, and the patient's oxygen saturation is dropping. The procedure is stopped. All airway rescue maneuvers are ineffective and the patient's condition continues to decline. What is your next step?
Call RR (199)
Which of the following agents is considered an analgesic (pain relieving medicine)?
Fentanyl
Why must patients given flumazenil for benzodiazepine reversal be monitored for a minimum of 2 hours post procedure?
Flumazenil has a shorther half-life than benzo's, so the patient may become somnolent again
What is the PRIMARY responsibility of the individual monitoring the patient during procedural sedation?
Observing the patient's level of sedation and vital signs
Which medication CANNOT be used for moderate sedation?
Propofol
Which of the following sedation-related adverse events must be reported via the Patient Safety Net (PSN)?
RR is called and reversal drug administered
Which of the following is a dose-dependent effect of opioid medications?
Respiratory depression
Which of the following is TRUE with regard to an oral pharyngeal airway?
Sized by measuring from the front of the teeth to the angle of the jaw
Which of the following patient characterizations BEST describes moderate sedation or level 2 on the sedation scale?
Somnolent, but arouses easily with tactile stimulus
For which of the following circumstances is post procedural sedation assessment NOT necessary?
???
Which of the following items MUST be documented in the pre-procedural assessment note prior to starting procedural sedation?
All of the above
Which of the following supplies MUST be available before beginning a procedure under moderate sedation:
All of the above
Which of the following things should be included when reporting adverse events during procedural sedation?
All of the above
You are monitoring a patient in a procedure requiring moderate sedation. You are concerned that the patient's airway is starting to obstruct and that any more sedation would lead to further airway compromise. The proceduralists is unable to complete the procedure due to excessive patient movement. Which of the following should be completed?
All of the above
