Sedation Levels
Standards of patient care
NPO Guidelines
Airway Management
Medications
100
These are the four levels of sedation on the sedation continuum?
What are minimal sedation (anxiolysis), moderate sedation (conscious), deep sedation, and general anesthesia?
100
This is the minimum number of staff available during a procedure that requires sedation.
What is two?
100
This is the minimum number of hours that a patient can have clear liquids before a procedure requiring sedation.
What is two hours?
100
This is the primary risk of sedation.
What is respiratory complication?
100
These two classes of drugs are used to provide procedural sedation, and are used to relieve anxiety and prevent or relieve pain.
What are benzodiazepines and opioids.
200
The patient in this state has a depressed level of consciousness, responds purposefully to verbal commands or tactile stimuli, maintains airway and ventilatory function, and may have slurred speech.
What is Moderate sedation?
200

This must be performed by the nurse immediately prior to sedation induction.

What is a time-out?

200
One of these liquids is not a clear liquid: Apple juice, black coffee, cola, orange juice, chicken broth.
What is orange juice?
200
Patients with stridor, sleep apnea, significant snoring, orthopnea, advanced rheumatoid arthritis, dysmorphic facial features, Down Syndrome, obesity, radiation or surgery to head/neck, short and thick neck, class IV airway, upper respiratory infections, or on CNS depressants are at risk for this.
What is airway obstruction?
200

This medication is a reversal agent for benzodiazepines.

What is Flumazenil (Romazicon)?

300
The patient in this state has a drug induced loss of consciousness, responding only to repeated or painful stimulation, and may have impaired airway and ventilatory function.
What is Deep sedation?
300
Vital signs and level of consciousness should be documented prior to sedation, and then at least every __________ minutes. (Monitoring is every five minutes or as needed).
What is fifteen?
300

This is the recommended minimum number of hours that a patient must be without solid food (ex: steak and potatoes) prior to a procedure that requires sedation.

What is eight?

300
This curved, firm, hollow tube prevents obstruction by the tongue and soft tissue.
What is an oral airway?
300
This antagonist for opiates reverses the respiratory depression and sedation effects.
What is Naloxone (Narcan)?
400
This is the deepest form of sedation in which there is loss of consciousness, inability to maintain airway, and the patient is unarousable, even to painful stimulation.
What is General anesthesia?
400
This physiologic assessment scoring system monitors activity, respirations, circulation, consciousness, and color.
What is the Aldrete Score?
400

According to HRMC policy #ANES100.10 how long must an infant be NPO from infant formula?

What is 4-6 hours?

400
In addition to verbal and tactile stimulation, this manual maneuver can be used to assist in airway management.
What is head tilt/chin lift or jaw thrust.
400
This medication causes amnesia for the procedure, has a rapid onset and short duration.

What is Midazolam (Versed)?

500
Sedation analgesia can provide relief of ______ and ______ that may accompany painful or difficult procedures.
What is pain and anxiety?
500
Patients may be discharged or transferred once they have met an Aldrete score of _______ or greater, or back to baseline.
What is eight?
500
Patients having procedural sedation need to be NPO to reduce the risk of this complication.
What is aspiration?
500
This soft rubber or plastic, hollow tube is passed through the nose into the posterior pharynx just above the epiglottis, and is measured from the tip of the patient's nose to the earlobe.
What is a nasopharyngeal airway?
500
Versed (Midazolam) and Valium (Diazepam) are two medications in this class of drugs that relieve anxiety and cause amnesia, sedation, muscle relaxation.
What are Benzodiazepines?
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