Conscious Sedation
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1) Describe the symptoms of a patient needing conscious sedation and how the decision would be made.
2) What is the primary effect of sedation and why is it important for patients to be closely monitored for even the simplest procedure?
3) How would sedation dose affect different patients?
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Solution Summary
Answers to the three questions concerning conscious sedation are provided. First the scope and applicability of conscious sedation is discussed, followed by a discussion why patients must be closely monitored when sedated and finally aspects of sedation dosage are examined.
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1) Describe the symptoms of a patient needing conscious sedation and how the decision would be made.
Let us recall from our last assignment first why we use conscious sedation in the first place: 'Conscious sedation is typically administered in hospitals, outpatient facilities, doctors offices etc. to facilitate minor procedures, mostly of surgical nature.' So as for typical symptoms, these could possible include an inflamed wisdom tooth, a severely upset stomach that requires an endoscopic examination or a bone marrow aspiration. Another typical indication where conscious sedation may be used would most tissue biopsies. (Generally, we need to be careful here with the word symptom, e.g. an inflamed wisdom tooth will probably cause some severe tooth pain, but may even cause a headache, but we can't say that conscious sedation should be used for the headache 'symptom'. You see my point? Conscious sedation is typically a tool employed to get to the (known!) cause of a symptom, but you cannot generalize and say that for example it should be used for all headaches.) As such the decision to use conscious sedation is primarily a decision of the procedure performing medical expert. ...
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