CBRN Pharmacology & Medication Management 3

Question 1

Tight glycemic control with insulin infusion in major burn patients is used primarily to:

Accepted Answer

Correct stress-induced hyperglycemia, reduce infection rates, and improve protein metabolism

Answer

Burn patients develop stress-induced hyperglycemia even without diabetes; tight glycemic control with insulin reduces infection risk, improves protein metabolism, and is associated with better outcomes.

Question 2

The current standard multimodal pain management approach for burn patients includes:

Accepted Answer

Combination of opioids, non-opioids (acetaminophen, NSAIDs), and adjuncts (ketamine, gabapentin)

Answer

Multimodal analgesia combining opioids, non-opioids, and adjuvant agents provides superior pain control with fewer adverse effects than single-agent therapy in burn patients.

Question 3

Gabapentin is increasingly used as an adjunct analgesic in burn patients primarily to treat:

Accepted Answer

Neuropathic pain and pruritus (itching) during wound healing

Answer

Gabapentin is effective for neuropathic pain and pruritus, both of which are common as burn wounds heal and nerve regeneration occurs in damaged tissue.

Question 4

Topical bacitracin ointment is most appropriately used for which burn wound scenario?

Accepted Answer

Superficial burns on the face or around the eyes

Answer

Bacitracin ointment is safe for facial burns and periorbital use, making it the preferred topical agent where silver-containing compounds may cause irritation to delicate facial tissue and eyes.

Question 5

Dexmedetomidine (Precedex) is used in burn ICU patients because it provides:

Accepted Answer

Sedation and analgesia with minimal respiratory depression, allowing patients to remain rousable

Answer

Dexmedetomidine, an alpha-2 agonist, provides cooperative sedation and analgesia with minimal respiratory depression, which is especially advantageous in burn patients with inhalation injuries.

(CBRN) Certified Burn Registered Nurse Practice Test

(CBRN) Certified Burn Registered Nurse Practice Test

CBRN Pharmacology & Medication Management 3