Sedation

Question 1

What are the oxygen stats essential in sedation?

What to do if alarm / dropping

Answer 1

Normal o2 sat = 97
Alarm at 90
Hypoxia at 85

If dropping - stimulate patient snd try to get them to breathe more

If alarm - supplemental oxygen with nasal cannulation
- flumazenil reversal - 500mg

Question 2

Contraindications for IS

Answer 2

• common cold
• tonsillitis
• nasal blockage
• severe COPD
• MS
• pregnancy - first trimester
• claustrophobia / fear of nasal mask

Question 3

Contraindications for IV sedation?

Answer 3

• severe COPD

Hepatic insufficiency

Pregnancy and lactation

Hypothyroidism

Question 4

IV sedation, o2 sats dropping and alarm goes off - what to do?

Answer 4

Alarm @ 90%
Hypoxia @ 85%

If dropping - ask pt to breathe and try to get them to breathe

If alarm
- supplemental oxygen of 2L/min
- reversal with flumazenil 500ug