A patient will receive intravenous midazolam [Versed] combined with fentanyl while undergoing an endoscopic procedure. The nurse is explaining the reasons for this to a nursing student before the procedure
Which statement by the student indicates understanding of the teaching? a. "The patient may appear anxious and restless during the procedure."
b. "The patient will be unconscious during the procedure."
c. "The patient will not need cardiorespira-tory support during the procedure."
d. "The patient will not remember the pro-cedure."
D
Midazolam, combined with an opioid analgesic, is used for conscious sedation for minor surge-ries and endoscopic procedures. It does not cause anesthesia during this state, which is characte-rized by sedation, analgesia, amnesia, and lack of anxiety. The patient will not remember the events even though the person will be able to respond to commands during the procedure. The patient will appear unperturbed and passive and not anxious or restless. The patient is sedated, not unconscious. Midazolam can cause dangerous cardiorespiratory effects, including respiratory depression and respiratory and cardiac arrest.
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