SGNA Sedation and Analgesia 2

Question 1

Which medication is a commonly used opioid analgesic for GI endoscopy procedural sedation?

Accepted Answer

Fentanyl

Answer

Fentanyl is preferred for endoscopy sedation due to its rapid onset (1–2 minutes), short duration (30–60 minutes), and favorable cardiovascular profile.

Question 2

What does capnography measure during procedural sedation?

Accepted Answer

End-tidal CO2 (ETCO2)

Answer

Capnography continuously monitors end-tidal CO2, providing early detection of respiratory compromise, apnea, or hypoventilation before SpO2 drops.

Question 3

Which sedation agent is classified as an anesthetic and requires administration only by qualified anesthesia providers per many state regulations?

Accepted Answer

Propofol

Answer

Propofol (Diprivan) has a narrow therapeutic window and can rapidly cause deep sedation or general anesthesia, restricting its administration to anesthesia-trained providers in many states.

Question 4

The Ramsay Sedation Scale is used to assess what during procedural sedation?

Accepted Answer

Level of consciousness and sedation depth

Answer

The Ramsay Sedation Scale (levels 1–6) assesses depth of sedation from anxious/agitated to unresponsive, guiding medication titration.

Question 5

What is the primary concern when administering midazolam to elderly patients for endoscopy sedation?

Accepted Answer

Prolonged sedation and increased fall risk

Answer

Elderly patients have reduced hepatic metabolism and increased sensitivity to benzodiazepines, leading to prolonged sedation, confusion, and increased fall risk post-procedure.

SGNA - Society of Gastroenterology Nurses and Associates Practice Test

SGNA - Society of Gastroenterology Nurses and Associates Practice Test

SGNA Sedation and Analgesia 2