CBRN Pharmacology & Medication Management 2

Question 1

Ketamine is frequently chosen for burn wound care procedures because it provides:

Accepted Answer

Dissociative anesthesia with preservation of airway reflexes and hemodynamic stability

Answer

Ketamine provides dissociative anesthesia, analgesia, and amnesia while maintaining airway reflexes and hemodynamic stability, making it ideal for painful burn dressing changes.

Question 2

In a burn patient receiving systemic antibiotics, which physiological factor most significantly alters drug pharmacokinetics compared to non-burn patients?

Accepted Answer

Increased volume of distribution due to massive fluid shifts and edema

Answer

Major burns cause massive fluid shifts, edema, and capillary leak, significantly increasing volume of distribution and altering drug pharmacokinetics, often requiring higher or more frequent dosing.

Question 3

Oxandrolone (an anabolic steroid) is used in severe burn patients primarily to:

Accepted Answer

Counteract catabolism and preserve lean body mass

Answer

Oxandrolone is an anabolic steroid used in burn patients to counteract the severe catabolism of the hypermetabolic response, preserving lean body mass and improving overall recovery.

Question 4

Which topical burn wound agent is CONTRAINDICATED in a patient with a documented sulfonamide allergy?

Accepted Answer

Silver sulfadiazine (Silvadene)

Answer

Silver sulfadiazine contains a sulfonamide component and is contraindicated in patients with known sulfa allergies due to the risk of a hypersensitivity reaction.

Question 5

Benzodiazepines and/or melatonin are used in burn ICU patients primarily to address:

Accepted Answer

ICU-related anxiety, sleep disturbances, and delirium prevention

Answer

Burn ICU patients frequently experience sleep disturbances, anxiety, and delirium; sedative agents like benzodiazepines or melatonin are used to manage these complications and improve patient outcomes.

(CBRN) Certified Burn Registered Nurse Practice Test

(CBRN) Certified Burn Registered Nurse Practice Test

CBRN Pharmacology & Medication Management 2