A patient is being prepared to receive conscious sedation for a procedure. Which of the following will the nurse most likely do when administering the conscious sedation medication?
1. titrate the medication
2. provide a bolus of the medication
3. mix the conscious sedation medication with pain medication in one injection
4. administer the medication at the beginning of the procedure and leave the room
1
Rationale: The use of single large bolus doses of any medication carries more risk for respiratory and cardiovascular depression than titrated intravenous administration to a defined end point. Titratable drugs have rapid onset, rapid offset and allow for adjustments in dose and dose interval. This is what the nurse should do. Medications that produce a state of sedation may not control pain. Often a combination of analgesics and sedatives are selected. To achieve the best results, these intravenous medications should be administered through separate intravenous lines. Administration of the drugs and monitoring of the patient is typically the responsibility of the nurse while the procedure is being performed so therefore, the nurse should not administer the medication at the beginning of the procedure and leave the room.
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