ACU/CVICU Sedation Pretest
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
€‹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
No
​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
€‹Causes of delirium include...(Select all that apply)​
Benzodiazepines
Noise
Severity of illness
Pain/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?​​
2
3
4
5
​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
True or False: symptoms of heart failure can mimic withdrawal symptoms and vice versa​
True
False
€‹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​
Extremely confident
Very Confident
Somewhat confident
Not so confident
Not at all confident
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