This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient will receive intravenous midazolam (Versed) combined with fentanyl while undergoing an ... (Read 85 times)

Mr3Hunna

  • Hero Member
  • *****
  • Posts: 536
on: Jul 23, 2018
A patient will receive intravenous midazolam (Versed) combined with fentanyl while undergoing an endoscopic procedure. The nurse is explaining the reasons for this to a nursing student before the procedure.
 
  Which statement by the student indicates understanding of the teaching?
  a. The patient may appear anxious and restless during the procedure.
  b. The patient will be unconscious during the procedure.
  c. The patient will not need cardiorespiratory support during the procedure.
  d. The patient will not remember the procedure.

Question 2

An anesthesiologist completes preoperative teaching for a patient the night before surgery. The patient asks the nurse to clarify the reason thiopental sodium will be given as an adjunct to the anesthetic.
 
  Which statement by the patient indicates understanding?
  a. Pentothal allows a larger amount of inhaled anesthetic to be used without increased side effects.
  b. Pentothal is given to enhance the analgesic and muscle relaxation effects of the inhaled anesthetic.
  c. Pentothal is used to produce rapid unconsciousness before administration of the inhaled anesthetic.
  d. Pentothal is used to reduce cardiovascular and respiratory depression caused by the inhaled anesthetic.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Bigfoot1984

  • Sr. Member
  • ****
  • Posts: 321
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Midazolam, combined with an opioid analgesic, is used for conscious sedation for minor surgeries and endoscopic procedures. It does not cause anesthesia during this state, which is characterized by sedation, analgesia, amnesia, and lack of anxiety. The patient will not remember the events even though the person will be able to respond to commands during the procedure. The patient will appear unperturbed and passive and not anxious or restless. The patient is sedated, not unconscious. Midazolam can cause dangerous cardiorespiratory effects, including respiratory depression and respiratory and cardiac arrest.

Answer to Question 2

ANS: C
Thiopental sodium, a short-acting barbiturate, is given intravenously for induction of anesthesia. It has a rapid onset and short duration and must be followed immediately by an inhalation anesthetic. It does not alter the side effects of inhalation anesthetics. Most adjuncts to inhalation anesthetics are given so that lower doses of the anesthetic may be used. Thiopental sodium has very weak analgesic and muscle relaxation effects. Thiopental sodium causes cardiovascular and respiratory depression.


Mr3Hunna

  • Member
  • Posts: 536
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

amit

  • Member
  • Posts: 364
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Did you know?

Earwax has antimicrobial properties that reduce the viability of bacteria and fungus in the human ear.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

Approximately 15–25% of recognized pregnancies end in miscarriage. However, many miscarriages often occur before a woman even knows she is pregnant.

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Taking a Patient’s Axillary Temperature Taking a Patient’s Axillary Temperature
Epiphyseal Usually occurs through the growth plate where the matrix is undergoing calcification and Epiphyseal Usually occurs through the growth plate where the matrix is undergoing calcification and
Structural changes in a multisubunit protein undergoing cooperative binding to ligand Structural changes in a multisubunit protein undergoing cooperative binding to ligand
Pure Alexia in a Patient with Multiple Sclerosis Pure Alexia in a Patient with Multiple Sclerosis
All messages must be documented and placed in the patient's chart. All messages must be documented and placed in the patient's chart.
Video: Junction Types - Tight and Adherens Junctions

For a complete list of videos, visit our video library