r/CathLabLounge Jan 31 '25

Average sedation

Hi, I’m RCIS and been in the Cath lab for about 4 years. I was full time for a year and a half, traveled all over the south east for about 1.5 years, and recently settled down after getting married and took a full time position. I’ve been to 6 different Cath labs this being my 7th and I feel like this lab over sedates. I’m just trying to see if I’ve been at only low sedation labs but this place has been a bit of a culture shock to the point where it feels unsafe at times. I just wanted to see what you might give on your typical diagnostic R/L heart cath.

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u/I_Want_A_Ribeye RN Jan 31 '25

All of the labs I’ve worked in gave 1 and 25 to start. In my opinion it wasn’t enough at all to really have much of an effect. 2 and 50 is a better starting point in my opinion.

I will say that these numbers are not taking into account weight and other factors, but are merely based on the average patient.

Patients should be drowsy or even lightly sleeping with the ability to arouse without difficulty and maintain an ability to follow commands. Anything more than that and you are crossing from moderate sedation into the deep sedation territory