Opposite of sedating
In patients with preexisting lung and/or heart disease, these medications should be monitored closely or not prescribed.The future of anesthetic care involves the simultaneous administration of several drugs including IV medications and inhaled anesthetics.Newer forms of diazepam (Dizac) are chemically improved to lower the possibility of vein irritation.Age and physical health are important risk factors.The procedure for sedation is usually explained to the patient by an attending clinician.An IV access line is set in place for fluid replacement and injection of medications.The patient is unable to cooperate, has labile (fluctuating) vital signs, prolonged recovery room convalescence, and higher risk of anesthetic complications.Usually procedures for conscious sedation do not require preoperative or pre-testing orders.
Patients are also monitored for pulse rate, respiration, blood pressure, and temperature.
A detailed past history, especially prior experiences with sedatives and other anesthetics is an important part of preparatory assessment.
It is important to determine if there were any untoward side effects associated with a previous medication.
Patients receiving conscious sedation are cooperative, have stable vital signs (pulse, respiratory rate, and temperature), shorter recovery room convalescence, and lower risk of developing drug-induced complications.
Unconscious sedation is a controlled state of anesthesia, characterized by partial or complete loss of protective nerve reflexes, including the ability to independently breathe and respond to commands.
An extensive survey of death in 100,000 cases published in 1988 revealed that death within seven days was 2.9 times greater when one or two anesthetic drugs were used than when using three or more medications.