Career Corner >> Nursing Specialization >> Conscious Sedation
Conscious Sedation
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Posted over 5 years ago Conscious Sedation during Radiology Procedures. |
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| Posted over 5 years ago Has anyone had any experience with this procedure? |
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| Posted over 5 years ago Yes. Depending on the procedure and the radiology physician, there are narcotic cocktails they each prefer. Most use Versed 1-5mg, and either Fentynal, Morphine, or Demerol. With Fentynal, the request to have on hand up to 500 mcgs, and with Morphine, up to 10 mg. In the protocol I followed, an assessment and initial set of vital signs were taken. The doctor then comes in to go over the procedure and verify the site with staff present. The narcotic cocktail is given after the consent is signed. Vital signs are taken every 5 minutes, as well as verbal feedback from the patient to judge patient's sedation/pain rating. The doctor is given status reports as the procedure progresses. When the procedure is over, a short length of time is given to evaluate the wearing off of the drugs given. Vital signs are taken every 15 minutes times two. Re-evaluation takes place and patient is informed of the next events to occur. They are then taken to their room or to outpatient services. |
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| Posted about 4 years ago To learn more visit www.SedationConsulting.com You will find a wealth of information and "How To" articles.
Best, Randy Randy Pigg
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| Posted about 4 years ago Thanks Randy. It was pretty interesting in the ER, I got to help with a conscious sedation on a man whose shoulder was out of socket. I got to hole one arm...while the doc popped it back in place. The patient was in no pain whatsoever. Go conscious sedation! A good man loves other. A better man loves God. A great man loves God and lives well among others! I miss you daddy!
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| Posted almost 4 years ago I would strongly suggest the use of midazolam and fentanyl ONLY for conscious sedation. Morphine and ESPECIALLY Demerol have very nasty side effect profiles... And pretty long alpha half lives compared to fentanyl. Demerol is being removed fomr many hospital formularies because of its ineffectivness. |
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| Posted almost 4 years ago SEVOFLURANE says ...
What about versed and propofol? From what I understand, propofol has a very short half life. |
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| Posted almost 4 years ago Propophol is best left in the OR or where entubation is planned. Ask Michael Jackson's doctor. I have assisted anesthesiology in performing conscious sedation for radiologic procedures, nearly always on pediatric patients or patients who cannot control their movements voluntarily. Some patients who claim claustrophobia have requested (and a few received) conscious sedation for procedures. Most were simply referred to the Open MRI in the area. We hated it in OR as we lost a circulator for the day since these procedures were scheduled for a single day. But regulations and common sense dictate the MD or CRNA have a knowledgable assistant that is a RN. |
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| Posted almost 4 years ago sewnew says ...
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| Posted almost 4 years ago SEVOFLURANE says ...
I agree with you that propofol should only be administered by anesthesia providers. I won't even begin to talk about MJ, but check out this link and tell me what you think. http://nursinglink.monster.com/topics/7786-propofol-sedation/posts |
