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An intubated teen who weighs 48 kg had a gunshot wound to the chest 3 days ago. His sedation has decreased and he is now breathing more spontaneously with the ventilator. He is now noted to be tachypneic with retractions. His ventilator settings include SIMV mode with volume control. FiO2 is .35, rate is 15, pressure support of 5, tidal volume of 250, and PEEP of 5. Which setting should be changed to best support adequate ventilation?

The parent of a 7 y/o reports that the child has been allergic to citrus fruits and to benadryl since early in life. Which history question should be asked first? 

Your patient has the following set of coagulation studies. Which blood product would you administer? Hbg: 8.9  Plts: 148 PT: 12 PTT: 24 INR: 1.1 Fibrinogen: 80

A child with an AV block requires sedation for a procedure. Which medication would be contraindicated?

Vomiting and laxative or diuretic use by adolescents with bulimia nervosa usually cause which metabolic abnormalities?

A child post-op cardiac surgery is doing well and the milrinone drip is converted to PO enalapril for afterload reduction. Which serious electrolyte abnormality could occur?

Which SSRI has the longest half life?

A patient with a pneumothorax as a result of trauma has a chest tube in place. The ACPNP is alerted that the patient required increased oxygen and is more tachypneic. On exam, there is crepitus around the insertion site of the chest tube. There is also an air leak noted in the chest tube water-seal chamber. What is the next step in management?

A 3 y/o had undergone frequent orthopedic procedures and is now returning from the PACU.  He is hypertensive, tachycardic, and minimally hypoxic. He is awake and crying despite recent application of an epidural catheter with fentanyl and bupivacaine. After careful evaluation, what is the most appropriate management?

Which medication frequently used for depression can also be used for neuropathic pain?