Level of Sedation
This level allows patients to respond normally to verbal stimulation.
What is minimal sedation (Anxiolysis)?
A benzodiazepine commonly used for conscious sedation in short-term, outpatient procedures.
What is Midazolam?
This "non-invasive squeeze" is required every 5 minutes during procedural sedation.
What is non-invasive blood pressure?
No response to voice,but has movement or eye opening to physical stimulation
What is RASS of -4? (Deep sedation)
This maneuver, lifting the mandible forward, is often the first response to sedative-induced airway obstruction.
What is the jaw thrust?
At this level, patients respond purposefully to verbal or light tactile stimulation.
What is moderate sedation? (Conscious sedation)
I am an opioid antagonist.
What is Naloxone?
I am continuous throughout the procedure, and you need a baseline prior to the procedure.
What is continuous cardiac monitoring?
Not fully alert, but has sustained awakening to voice (eye opening and contact more than 10 seconds).
What is a RASS or -1? (light sedation)
My blood pressure has dropped, and this is the first intervention.
What is IV fluid bolus?
Patients may require repeated or painful stimulation and may lose protective airway reflexes.
What is deep sedation?
This opioid is frequently paired with midazolam for moderate sedation.
What is Fentanyl?
I need to ask about this status prior to the procedure starting, as part of my safety check.
What is NPO status?
Movement or eye opening to voice (but NO eye contact).
What is a RASS score of -3? (Moderate sedation)
This tool, often placed at the bedside, can reopen the airway when soft tissue relaxation leads to partial obstruction?
What is an oropharyngeal airway?
This level involves complete loss of consciousness and requires airway support.
What is general anesthesia?
Sedation may reoccur after 1 hour of administration.
What is flumazenil?
I should be assessing this every 5 minutes along with the vitals.
What is RASS/level of sedation?
I need 1 PADDS scores of ______ to be able to discharge a patient.
What is a PADDS score of 9 or greater?
The patient is pale and diaphoretic, the heart rate is 34. I anticipate the physician to order.
What is atropine or glycopyrrolate?
This sedation level carries the highest risk of loss of protective airway reflexes.
What is deep sedation?
My dosing is 0.1mg - 0.2mg every 2-3 minutes until desired response.
This measurement can detect respiratory compromise before oxygen saturations.
What is end tidal CO2 monitoring?
To score a 2 on vital signs, my vitals must be within ____ % of my preoperative value.
What is 20%?
My blood pressure did not respond to fluid. The nurse anticipates the physician to order this medication.
What is ePHEDrine or PHENYLephrine?