CBM Pain Management & Sedation 2

Question 1

Which opioid is preferred for procedural pain in burn patients due to its rapid onset and short duration?

Accepted Answer

Fentanyl

Answer

Fentanyl's rapid onset (1-2 min IV) and short duration (30-60 min) make it ideal for burn dressing changes and procedures.

Question 2

Ketamine is frequently used in burn patients primarily because it:

Accepted Answer

Provides analgesia while maintaining airway reflexes

Answer

Ketamine is a dissociative anesthetic that provides potent analgesia and sedation while largely preserving protective airway reflexes and spontaneous breathing.

Question 3

A burn patient develops tolerance to opioids after 2 weeks of continuous infusion. The BEST next step is to:

Accepted Answer

Rotate to a different opioid class or agent

Answer

Opioid rotation exploits incomplete cross-tolerance, allowing effective pain control at lower equianalgesic doses of the new agent.

Question 4

Which non-opioid adjuvant has shown benefit in reducing opioid consumption in burn patients by acting on alpha-2 receptors?

Accepted Answer

Dexmedetomidine

Answer

Dexmedetomidine, a selective alpha-2 agonist, provides sedation and opioid-sparing analgesia without respiratory depression.

Question 5

During a dressing change, a burn patient's NRS pain score is 9/10 despite background opioid infusion. The MOST appropriate intervention is:

Accepted Answer

Administer a procedural bolus dose 20-30 minutes before the procedure

Answer

Pre-procedural bolus dosing timed to peak effect (20-30 min for IV morphine) ensures adequate analgesia before the painful stimulus begins.

(CBM) Certified Burn Manager Practice Test

(CBM) Certified Burn Manager Practice Test

CBM Pain Management & Sedation 2