CBM Pain Management & Sedation 3

Question 1

Which sedation scale is most commonly validated for use in burn ICU patients to assess agitation and sedation depth?

Accepted Answer

Richmond Agitation-Sedation Scale (RASS)

Answer

The RASS is widely validated and used in ICU settings including burn units to titrate sedation to a target level and avoid over- or under-sedation.

Question 2

A pediatric burn patient undergoing procedural sedation with ketamine should routinely receive glycopyrrolate because ketamine:

Accepted Answer

Stimulates excess salivation that can obstruct the airway

Answer

Ketamine's sympathomimetic effects increase secretions; glycopyrrolate (an anticholinergic) reduces hypersalivation and the risk of laryngospasm.

Question 3

Regional nerve blocks in burn patients are limited primarily by:

Accepted Answer

Infection risk when inserting through or near burned tissue

Answer

Placing catheters through or near burned, colonized tissue carries significant infection risk, limiting the use of regional techniques in burn patients.

Question 4

Methadone's role in chronic burn pain management is primarily related to its:

Accepted Answer

NMDA receptor antagonism in addition to opioid agonism

Answer

Methadone blocks NMDA receptors, which are implicated in central sensitization and neuropathic pain, giving it advantages beyond pure mu-opioid activity.

Question 5

Which pain assessment tool is most appropriate for a non-verbal, intubated burn patient in the ICU?

Accepted Answer

Behavioral Pain Scale (BPS)

Answer

The Behavioral Pain Scale (BPS) assesses facial expression, upper limb movements, and compliance with ventilation to estimate pain in non-verbal ICU patients.

(CBM) Certified Burn Manager Practice Test

(CBM) Certified Burn Manager Practice Test

CBM Pain Management & Sedation 3