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Conscious sedation
time out Conscious Sedation LISA LIOTTA-BARDZEL, BSN, CPAN KAREN MARSH, BSN ACROSS
DOWN
1. An RN must be certified in (abbrev) in most states to administer conscious sedation. 6. A purpose for conscious sedation is , or to decrease anxiety. 8. A purpose for conscious sedation is , or to decrease pain. 9. A conscious sedation patient is advised when going home to for 24 hours. 11. The pharmacologic effects of depend on the specific receptor subtype stimulated (primarily used as analgesics). 14. Narcotics are used during conscious sedation to elevate the , even with the use of local anesthetics. 17. Displaces previously administered narcotics from receptors. 19. thrust maneuver opens an obstructed airway during conscious sedation. 20. monitoring is required during conscious sedation to assess cardiac status. 21. A short-acting benzodiazepine agonist frequently used during conscious sedation. 22. Morphine stimulates the opioid receptors which cause respiratory depression, miosis, and decreased gastrointestinal motility. 23. Gentle superior movement of the mentum resulting in displacement of the tongue to relieve airway obstruction is the lift technique. 29. A primary objective during conscious sedation is to suppress the patient’s fear and anxiety or . 30. Conscious sedation patients should remain nil per os (abbrev) until alert and gag reflex is present. 31. local anesthetics include bupivacaine, lidocaine, mepivacaine, and etidocaine. 32. local anesthetics include chloroprocaine, cocaine, procaine, and tetracaine.
1. Conscious sedation patients retain the ability to maintain a patent . 2. Severe hypoxemia develops when the monitor decreases below 75%. 3. anesthetic agents block the conduction of impulses along the nerve fiber. 4. A conscious sedation patient has a level of consciousness but retains the ability to respond. 5. technology combines the principles of optical plethysmography and spectrophotometry to monitor Hgb oxygen saturation during conscious sedation. 7. During conscious sedation, there must be only a in blood pressure, heart rate, respiratory, and SaO2 readings. 10. A difference between deep sedation and conscious sedation is the patient’s ability to . 12. A purpose for conscious sedation is , or the inability to remember. 13. Bag-valve-mask device, oxygen, cardiac monitor, SaO2 monitor, emergency drugs, and suction are required equipment. 15. Benzodiazepine receptor antagonist used for the reversal of benzodiazepine sedation. 16. A long-acting benzodiazepine that affects the limbic system, thalamus, and hypothalamus producing sedation.
Lisa Liotta-Bardzel, BSN, CPAN, and Karen Marsh, BSN, are both PACU nurses at Scranton Mercy Hospital, Scranton, PA. Address correspondence to Lisa Liotta-Bardzel, BSN, CPAN, 812 SR 92N, Tunkhannock, PA 18657. © 2000 by American Society of PeriAnesthesia Nurses. 1089-9472/00/1504-0011$3.00/0 doi:10.1053/jpan.2000.9465
Journal of PeriAnesthesia Nursing, Vol 15, No 4 (August), 2000: pp 269-271
269
LIOTTA-BARDZEL AND MARSH
270
18. Blocks the development of the action potential required for the depolarization of nerve cells. (lidocaine) 24. Opiate receptor for analgesia, respiratory depression, miosis, and dysphoria. 25. Opiate receptor for dysphoria and respiratory depression.
26. Benzodiazepine receptor binding enhances ␥-aminobutyric acid, or in the brain which inhibits various neurotransmitters. 27. Opiate receptor for dysphoria and hallucinations. 28. The Modified Ramsey Scale or Olsson Scale assesses (abbrev) and should be included on the conscious sedation record.
PUZZLE
CONSCIOUS SEDATION
271
SOLUTION
DOWN
1. An RN must be certified in (abbrev) in most states to administer conscious sedation. 6. A purpose for conscious sedation is , or to decrease anxiety. 8. A purpose for conscious sedation is , or to decrease pain. 9. A conscious sedation patient is advised when going home to for 24 hours. 11. The pharmacologic effects of depend on the specific receptor subtype stimulated (primarily used as analgesics). 14. Narcotics are used during conscious sedation to elevate the , even with the use of local anesthetics. 17. Displaces previously administered narcotics from receptors. 19. thrust maneuver opens an obstructed airway during conscious sedation. 20. monitoring is required during conscious sedation to assess cardiac status. 21. A short-acting benzodiazepine agonist frequently used during conscious sedation. 22. Morphine stimulates the opioid receptors which cause respiratory depression, miosis, and decreased gastrointestinal motility. 23. Gentle superior movement of the mentum resulting in displacement of the tongue to relieve airway obstruction is the lift technique. 29. A primary objective during conscious sedation is to suppress the patient’s fear and anxiety or . 30. Conscious sedation patients should remain nil per os (abbrev) until alert and gag reflex is present. 31. local anesthetics include bupivacaine, lidocaine, mepivacaine, and etidocaine. 32. local anesthetics include chloroprocaine, cocaine, procaine, and tetracaine.
1. Conscious sedation patients retain the ability to maintain a patent . 2. Severe hypoxemia develops when the monitor decreases below 75%. 3. anesthetic agents block the conduction of impulses along the nerve fiber. 4. A conscious sedation patient has a level of consciousness but retains the ability to respond. 5. technology combines the principles of optical plethysmography and spectrophotometry to monitor Hgb oxygen saturation during conscious sedation. 7. During conscious sedation, there must be only a in blood pressure, heart rate, respiratory, and SaO2 readings. 10. A difference between deep sedation and conscious sedation is the patient’s ability to . 12. A purpose for conscious sedation is , or the inability to remember. 13. Bag-valve-mask device, oxygen, cardiac monitor, SaO2 monitor, emergency drugs, and suction are required equipment. 15. Benzodiazepine receptor antagonist used for the reversal of benzodiazepine sedation. 16. A long-acting benzodiazepine that affects the limbic system, thalamus, and hypothalamus producing sedation.
Lisa Liotta-Bardzel, BSN, CPAN, and Karen Marsh, BSN, are both PACU nurses at Scranton Mercy Hospital, Scranton, PA. Address correspondence to Lisa Liotta-Bardzel, BSN, CPAN, 812 SR 92N, Tunkhannock, PA 18657. © 2000 by American Society of PeriAnesthesia Nurses. 1089-9472/00/1504-0011$3.00/0 doi:10.1053/jpan.2000.9465
Journal of PeriAnesthesia Nursing, Vol 15, No 4 (August), 2000: pp 269-271
269
LIOTTA-BARDZEL AND MARSH
270
18. Blocks the development of the action potential required for the depolarization of nerve cells. (lidocaine) 24. Opiate receptor for analgesia, respiratory depression, miosis, and dysphoria. 25. Opiate receptor for dysphoria and respiratory depression.
26. Benzodiazepine receptor binding enhances ␥-aminobutyric acid, or in the brain which inhibits various neurotransmitters. 27. Opiate receptor for dysphoria and hallucinations. 28. The Modified Ramsey Scale or Olsson Scale assesses (abbrev) and should be included on the conscious sedation record.
PUZZLE
CONSCIOUS SEDATION
271
SOLUTION