DAANCE Levels of Sedation 2

Question 1

According to the ASA continuum, which level of sedation is characterized by loss of consciousness with inability to be aroused even by painful stimulation?

Accepted Answer

General anesthesia

Answer

Minimal sedation

Answer

Moderate sedation/analgesia

Answer

Deep sedation

Question 2

A patient under moderate sedation (conscious sedation) should be able to:

Accepted Answer

Maintain spontaneous ventilation and respond purposefully to verbal commands

Answer

Respond only to maximal stimulation such as a sternal rub

Answer

Tolerate endotracheal intubation without awareness

Answer

Require mechanical ventilation to maintain adequate oxygenation

Question 3

Which factor most commonly causes unintended deepening of sedation beyond the intended level?

Accepted Answer

Synergistic drug interactions when combining opioids and benzodiazepines

Answer

Under-dosing of the local anesthetic

Answer

Failure to take a blood pressure reading during the procedure

Answer

Excessive chair tilt into Trendelenburg position

Question 4

The purpose of pre-sedation fasting (NPO) guidelines before IV sedation is to:

Accepted Answer

Reduce gastric volume and acidity, lowering aspiration risk during sedation

Answer

Prevent hypoglycemia during the procedure

Answer

Ensure the patient is calm and not nauseous before drug administration

Answer

Allow the liver to metabolize previous medications before new sedatives are given

Question 5

During moderate IV sedation, which monitoring parameter is MANDATORY throughout the procedure?

Accepted Answer

Continuous pulse oximetry and blood pressure at regular intervals

Answer

Bispectral index (BIS) monitoring

Answer

End-tidal CO2 monitoring via mainstream capnography

Answer

Electroencephalogram (EEG) monitoring

Question 6

When should the anesthesia record (sedation chart) be completed?

Accepted Answer

Contemporaneously during the procedure, recording vitals at least every 5 minutes

Answer

Within 24 hours of the procedure

Answer

Only when a complication occurs

Answer

At the beginning of the next visit