Case 3

The consultant attends and states that he wants to supervise you performing the sedation. A nurse will perform the cardioversion. You consider the risks of sedation in this particular lady.

Describe three features of this patient's presentation that may modify your sedation technique or choice of sedative agent.

Many adverse events are common to several sedative agents. Which drug is most typically associated with the adverse effects described?

Select the relevant agent for each adverse effect.

You have decided to sedate this 80-year-old female with VT for DC cardioversion. Her pulse remains 200, BP 86/55 and her SaO₂ is 98% on high flow oxygen.

What sedative agent are you going to administer?

Describe the dose, route, method of administration and one reason why you are going to use this particular agent.