CSC Patient Safety & Complication Management Flashcards
6 cards from real CSC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CSC Patient Safety & Complication Management flashcards as text
Which of the following best describes an anaphylactic reaction in the context of sedation procedures?
Answer: Severe, life-threatening systemic hypersensitivity reaction requiring immediate epinephrine
Anaphylaxis is a severe IgE-mediated systemic reaction that can cause cardiovascular collapse and bronchospasm, requiring immediate IM epinephrine as first-line treatment.
A patient's heart rate drops to 42 bpm and blood pressure falls to 82/50 mmHg after receiving IV fentanyl and midazolam. What is the most likely cause?
Answer: Vagally-mediated bradycardia combined with hypotension from vasodilation
Combined opioid-benzodiazepine administration can cause vagal bradycardia and vasodilatory hypotension, a recognized hemodynamic complication of moderate sedation.
Which of the following is the FIRST step in managing a suspected malignant hyperthermia (MH) crisis during a sedation procedure?
Answer: Discontinue triggering agents and administer dantrolene
MH treatment begins with immediate discontinuation of triggering agents (volatile anesthetics/succinylcholine) and rapid IV administration of dantrolene sodium.
What action should be taken if a patient undergoing moderate sedation becomes unresponsive and apneic?
Answer: Activate the emergency response system and initiate CPR/BLS
Unresponsiveness and apnea represent a life-threatening emergency requiring immediate activation of the emergency response system and initiation of basic life support.
Which factor most significantly increases a patient's risk of hypotension during moderate sedation?
Answer: Hypovolemia or dehydration prior to the procedure
Dehydrated or hypovolemic patients have reduced preload and are highly sensitive to the vasodilatory effects of sedative agents, making hypotension much more likely.
A patient develops a paradoxical reaction to midazolam, becoming increasingly agitated and combative. What is the BEST management approach?
Answer: Administer flumazenil to reverse the benzodiazepine and consider an alternative agent
Paradoxical reactions to benzodiazepines are best managed by administering flumazenil to reverse midazolam and reassessing sedation options with an appropriate alternative.