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Pediatric Critical Care Drugs Exam Questions & Answers (Grade A+), Exams of Pediatrics

Florida Memorial UniversityPediatrics

Pediatric Critical Care Drugs Exam Questions & Answers (Grade A+)

Typology: Exams

2025/2026

Available from 07/02/2026

Nurseexpert
Nurseexpert 🇺🇸

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Pediatric Critical Care Drugs Exam
Questions & Answers (Grade A+)
Fentanyl - common PICU dose -
correct answer ✅1-3 mcg/kg/hr and 1 mcg/kg/hr prn
side effect of fentanyl if pushed too fast -
correct answer ✅chest wall rigidity - narcan for
reversal
onset of morphine -
correct answer ✅less than 5 minutes
side effects of morphine -
correct answer ✅hypotension, resp depression and
pruritus (histamine release)
Reversal agent for morphine and fentanyl that is used
during extubation -
correct answer ✅narcan (naloxone) at 0.1 mg/kg
what is methadone used for in PICU -
correct answer ✅for opioid dependence and will start
to wean opioid drips after 1-2 doses of methadone
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Questions & Answers (Grade A+)

Fentanyl - common PICU dose - correct answer ✅1-3 mcg/kg/hr and 1 mcg/kg/hr prn side effect of fentanyl if pushed too fast - correct answer ✅chest wall rigidity - narcan for reversal onset of morphine - correct answer ✅less than 5 minutes side effects of morphine - correct answer ✅hypotension, resp depression and pruritus (histamine release) Reversal agent for morphine and fentanyl that is used during extubation - correct answer ✅narcan (naloxone) at 0.1 mg/kg what is methadone used for in PICU - correct answer ✅for opioid dependence and will start to wean opioid drips after 1-2 doses of methadone

Questions & Answers (Grade A+)

WAT score (withdrawal assessment tool) - signs of opioid withdrawal - correct answer ✅tachycardia, hypertension, dilated pupils, muscle jerks, tremors, diaphoresis what do you do for an elevated WAT score >5? - correct answer ✅give rescue dose of morphine and consider holding wean of medication or increasing methadone versed vs. ativan - correct answer ✅versed will be continuous drip and ativan will be intermittent side effect of versed (benzodiazepine) - correct answer ✅hypotension common side effects with ativan - correct answer ✅hypotension and delirium with continued use

Questions & Answers (Grade A+)

correct answer ✅dissociative anesthetic - for induction and maintenance of sedation. Increased HR, BP and ICP why avoid ketamine in head injury patients? - correct answer ✅causes increased cerebral blood flow

  • increased ICP common paralytics - correct answer ✅veceronium, rocuronium, cisatricurium, and succinychoine what paralytic is commonly used for intubation? - correct answer ✅rocuronium what paralytic is commonly used for ECMO and why? - correct answer ✅cisatricurium (nimbex) because it doesn't cause liver/kidney failure what are 2 common drugs for ICP management? - correct answer ✅mannitol and 3% saline

Questions & Answers (Grade A+)

what does mannitol do? - correct answer ✅osmotic diuretic - draws fluid into intravascular space and flushes it out (will have increase UO) Milrinone purpose - correct answer ✅blood pressure support (vasodilator) what are the effects of milrinone? - correct answer ✅1. increases contracility

  1. vasodilation
  2. helps relax the heart and squeeze the heart using less myocardial oxygen consumption H's and T's - reasons for epinephrine - correct answer ✅Hypovolemia, hypoxia, hypoglycemia, hypo/hyperkalemia, hypothermia, Tension pneumothorax, cardiac Tamponade, toxins, pulmonary or coronary thrombosis 3 characteristics of asthma - correct answer ✅1. bronchoconstriction
  3. mucous plugging