Relief of pain without an altered sensorium
Analgesia
2 induction medications for RSI
Etomidate
Ketamine
Reversal agent for opiates
Narcan
Name a benefit of Capnography
Real time feedback
Waveform helps diagnose condition
Name 2 required methods of monitoring a patient during sedation
Cardiac Monitor
Pulse Ox
Capnography
VS
Depression of the patients awareness to the environment and reduction of responsiveness to external stimulation
Sedation
Name a contraindication to Succinylcholine
Malignant Hyperthermia
Thermal Injury
Multiple trauma - Massive Crush Injury
Reversal agent for benzodiazepines
Romazicon
Loss of Waveform - ET tube disconnect
Loss of Circulatory function
How often should VS be charted on a sedated patient
q5mins
The sedation level that describes a normal response to verbal stimulation, Airway, Ventilation and Cardiovascular function unaffected
Anxiolysis
2-4mg IVP,IO, MAD over 2 mins
Max Dose - 8mg
Name 2 indications for Narcan administration
Unconscious Patient with Unknown Etiology
Known or suspected OD
Hypoventilation
Name 5 Rights of Administration
Patient
Medication
Dose
Time
Route
The sedation level that describes a purposeful response to repeated or painful stimuli, Airway invention may be required, Spontaneous Ventilation may be inadequate and Cardiovascular function is usually maintained
Deep Sedation
Medication that is characterized by a "dissociative state"
Ketamine
Name 3 adverse reactions to Narcan
Increased BP
Vomiting
Seizures
Bronchospasm - asthma; COPD
Name 2 things you must document with sedation
Indication
Outcome
Monitoring
Assessment
Name the ASA Class that describes a patient with mild systemic disease
ASA Class II
Name the medication used for sedation maintenance and dosing range per your department protocol
Versed 1-2.5mg IVP (may repeat as needed)
What is the duration range of Narcan
1-4 hrs
Apnea
Sedation
Name 3 Indications for Sedation
Head Injury (elevated ICP)
RSI
Combative