ACU/CVICU Sedation Pretest

a detailed illustration of pediatric healthcare professionals managing sedation in an ICU, showcasing teamwork and patient care in a clinical setting

ACU/CVICU Sedation Pretest

Test your knowledge on sedation management and withdrawal symptoms in pediatric patients with our interactive quiz. This quiz is designed for healthcare professionals working in acute care and critical care settings.

You'll cover topics such as:

Opioid use and dependency
Sedation weaning protocols
Signs of agitation and withdrawal
Medication indications

16 Questions4 MinutesCreated by CalmNurse27

�You just started your shift and recall in report that your patient’s precedex gtt was just weaned from 1.2 to 1 mg/kg/hr 24 hours ago, and that she has been on the drip for 7 days. The patient has been receiving scheduled Tylenol and Toradol. At the start of your shift, you notice the patient is crying and agitated, diaphoretic, and tachycardic. Your WAT score is 6. What is the best choice for a prn rescue dose based on the patient’s clinical presentation?

Morphine

Ativan

Fentanyl

Extra dose of toradol

�Your 6 m.o patient is POD #1, extubated, PO feeding, and has 2 chest tubes. He has a history of 2 days on a precedex drip while intubated. The patient is currently awake, crying, squirming, and hypertensive. What is the best medication to give to this patient?

Ativan

Nothing

Sweeties

Morphine

�In pediatric patients, the half-life of IV fentanyl is _____________, and the half life of IV morphine is ______________

~5 minutes; ~30 minutes

~ 2 hours; ~4-13 hours

Which of the following are true regarding opioid use and withdrawal symptoms? Select all that apply.

Opioid tolerance is a reduced responsiveness to opioids and a need for increased dose to achieve the same effect

Opioid dependence is the presence of withdrawal symptoms upon cessation of opioid use

Risk of withdrawal symptoms is higher with increased cumulative doses of opioid use

You can immediately stop doing WAT scores as soon as an opioid infusion is weaned off.

Your patient has been on a scheduled wean, but in the shift prior the patient was unstable and is now paralyzed/sedated. The weaning protocol is still in the order. Should you continue with the weaning?

Yes

Sedation weaning protocols are often risk stratified with goal sedation levels. What does this mean?

Weaning will be held on unstable patients

Patients preparing for extubation should be more awake to prove they can adequately breathe on own

Goal sedation levels are discussed during rounds

All of the above

Possible side effect(s) of methadone include...

Prolonged QT interval

Respiratory depression

Drug dependence

All of the above

�Ativan is best indicated for __________, while morphine is indicated for ___________

Pain; agitation

Sleep; pain

Agitation; pain

Hypertension; agitation

Which of the following are long-term side effects of opioids?

Neurodevelopmental delays

Cognitive dysfunction

Anxiety, depression

All of the above

According to Rady’s policy, above which of the following WAT scores are we supposed to notify the provider and rescore after 2 hours?

How long do patients typically need to be on narcotics/benzodiazepines in order to start showing withdrawal symptoms upon weaning?

1 day

12 hours

3 days

5 days

�What is a sedation weaning protocol and what is its goal?

Standardized, evidence-based, risk stratified protocol that guides the sedation weaning process; the goal is to decrease opioid exposure and dependence, decrease the amount of patients being discharged on sedation, and ultimately decrease length of stay and improve patient outcomes

A protocol in which patients are weaned off sedation the same exact way without individualization; the goal is to standardize our sedation weaning process

A protocol to help patients get extubated faster

A protocol to transition all IV sedation medications to enteral form

�Adjuvant non-opioid methods to treat withdrawal symptoms include (Select all that apply)

Tylenol

Clonidine

NSAIDS

Swaddling/pacifier use

�How confident do you feel regarding the topic of sedation weaning, including best methods on how to wean, signs and symptoms of withdrawal, and methods of treatment for withdrawal

ACU/CVICU Sedation Pretest

ACU/CVICU Sedation Pretest

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