Conscious Sedation
Across
1. The absence of normal sense of pain
5. This organization (abbrev.) has "Recommended Practices for Documentation of Perioperative Nursing Care" wherever conscious sedation/analgesia is administered
9. I am an antiemetic and I act at subcortical levels to produce sedation.
14. This group of drugs bind to specific receptor sites in the CNS that inhibit excitatory impulses.
16. A nasal _____is another word for a nasopharyngeal airway.
18. This thrust maneuver helps the relief of airway obstruction by lifting the tongue off the posterior wall.
20. With____sedation, the patient may have a partial or complete loss of protective reflexes.
23. Proper discharge criteria is met when a patient is discharged with a____adult.
25. What is the opioid receptor for analgesia and for decreased gastrointestinal motility?
27. Drug used to reverse the effects of benzodiazepines
28. Obese patients requiring conscious sedation may benefit from preprocedural administration of this gastric stimulant.
29. The use of opioids, sedatives, and amnesics must be administered in perfect____for safe effective sedation.
31. Pulse oximetry combines the principle of optical plethysmography and spectrophotometry to ascertain hemoglobin____saturation.
32. This organization (abbrev.) provides "Guidelines for Nursing Care of the Patient Receiving Sedation and Analgesia in the Gastrointestinal Endoscopy Setting."
33. This accrediting organization (abbrev.) has taken an active role in the development of policies, standards, and intents specific to administration of conscious sedation.
34. This condition occurs when oxygen demand exceeds oxygen supply.
37. The purpose of conscious sedation is threefold: to relieve pain, to decrease anxiety, and to produce____.
38. Opioids produce some degree of sedation, yet are mainly used for their____properties.
40. Critical____assessment skills are necessary to provide safe, effective quality patient care.
41. This specific opiate receptor in the CNS deals with dysphoria and hallucinations.
Down
2. Droperidol may cause the patient high____and may make the patient frightened when the drug is given alone.
3. The clearance and____of drugs and metabolites require adequate renal function prior to the administration of sedatives.
4. Acronym for level of consciousness
6. A habit-forming drug that deadens and puts people to sleep
7. Proper discharge criteria after conscious sedation is the absence of or minimal____or vomiting.
8. ____intravenous administration of narcan may induce noncardiogenic pulmonary edema.
9. This benzodiazepine may cause venous irritation and possible thrombophlebitis.
10. Pulse____readings are difficult to obtain on cold and shivering patients due to vasoconstriction and movement.
11. The advantage of this particular oxygen mask is that it allows delivery of up to 100% oxygen when a tight face seal is assured.
12. I am a sedative hypnotic with intrinsic antiemetic effects, void of analgesic properties, and must be given intravenously.
13. In the presence of respiratory depression or____, the RN must be prepared to ventilate the patient with a positive pressure breathing device.
15. This scale is used to standardize the assessment and to document the condition of the patient during conscious sedation.
17. Patients with diabetes, hiatal hernia, gastric outlet obstruction, and lower esophageal sphincter tone, are at higher risk for this complication.
19. Head tilt, jaw thrust, nasal/oral airways are initial interventions for upper____obstruction.
21. Located within the CNS are specific opiate____known as MU, Kappa, Delta, and Sigma.
22. The harmony of having drugs working together producing an effect which is greater than if the drugs were to be used alone
24. Know your scope of nursing practice and operate within your institutional and state's standards in order to give yourself some____from a legal suit.
26. This drug is a pure opioid antagonist, which competitively binds at the opiate receptors.
30. Preprocedural instructions are imperative for patient safety. An anesthesia study published in the journal Anesthesia 1994 reported that only 28% of patients receiving ____ intructions believed that these instructions pertained to the abstinence only to food and not to water. (acronym)
35. The pediatric guidelines and algorithms for dealing with emergencies (acronym)
36. This society has developed a system to standardize physical status and assign a potential risk classification for preprocedure assessment.
37. Guidelines and algorithms for dealing with adult emergencies (acronym)
39. Used to determine the presence of myocardial ischemia, arrhythmia, electrolyte disturbance, and pacemaker function
Acknowledgment:
The author thanks Lynn Sattler, BA, RN, CGRN, and coworkers at the University of Colorado Hospital's GI Lab for support and encouragement, and Mr. Bill Penberthy for his interest in formatting this project.
FIGURE