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WorksheetsPharmacology and Pain Management
Total questions: 6
Worksheet time: 6mins
12 mo has sepsis and meningitis. Vancomycin 15 mg/kg Q6 and ceftriaxone 50 mg/kg Q12 started. Vancomycin levels drawn immediately before and 1 hour after the second dose were 5.5 µg/mL and 15.6 µg/mL. ID wants better values. MOST practical step?
Administer dexamethasone 0.15 mg/kg intravenously every 6 hours
Change the vancomycin interval to every 4 hours
Continue the current antibiotic regimen
Increase the vancomycin dose to 20 mg/kg
2 yo has asthma and is wheezing. Albuterol by MDI, 2 puffs (90 µg each) twice daily, not helping, also causes tachycardia. Mother is concerned about increasing the frequency of dosing because of his tachycardia. BEST advice to give?
Begin a course of oral corticosteroids
Change from albuterol to along-acting β-agonist inhaler
Double the dose of inhaled corticosteroids with spacer/mask
Use albuterol inhaler 2 to 4 puffs with spacer/mask every 3 to 4 hours
15 yo with prosthetic valve is on aspirin and warfarin. Now has vaginal candidiasis; someone prescribes fluconazole. MOST likely adverse effect?
acute renal failure
bleeding
fulminant hepatic failure
thromboembolic stroke
20 mo has laceration of chin; very anxious and screams and struggles to allow sutures. BEST approach for minimal sedation?
intramuscular morphine
intranasal midazolam
intravenous etomidate
intravenous propofol
2 yo broke tibia and in a lot of pain. EMSA cannot provide pain relief due to screaming and anxiety of child. MOST appropriate treatment?
intranasal fentanyl
oral ibuprofen
oral 25% sucrose solution
distraction techniques during transport
14 yo has depression. She desires to start medicotherapy. What is MOST FDA approved medication to start?
citalopram
escitalopram
fluoxetine
paroxetine
sertraline
