Samenvattingen, Aantekeningen en Examens

Respiratory Critical Care -ACCS exam questions with correct answers Bodai adapter Answer A device that fits on the endotracheal tube for bronchoscopy The endotracheal tube must be at least a size ____ for bronchoscopy? Answer 7.0 mm Amount of force needed for cricoid pressure? Answer 10-30 Newtons Sledinger approach Answer When a bougie is inserted through the old endotracheal tube, which is removed, and the new endotracheal tube is advanced over the wire. Inhaled nitric oxide dosag...

General critical care -ACCS exam with correct answers What is the thyromental distance? Answer Measurement of the distance between the upper edge of the thyroid cartilage to the chin, while the neck is completely extended. Thyromental distance: what indicates a suspected difficult intubation? Answer Less than 6 cm Thyromental distance: what suggests a non-problematic intubation? Answer 7 cm or greater What type of x-ray should you use to determine proper position of an endotracheal tub...

Describe serial cough Answer small breath & cough, large breath & cough, then deep breath & hard cough Describe huff cough and which patients is it most effective for? Answer coughing with open glottis. More effective for patients with COPD and head trauma to prevent increased ICP Name the top 2 diseases that may required bronchial hygiene such as postural drainage? Answer CF and Bronchiectasis

ACCS – Pathology questions with correct answers CXR of Emphysema Answer - diminished marking - flattened diaphragms -hyperlucency - increased AP diameter treat Emphysema Answer - in emergency treat with 100% FiO2 d/t impending hypoxic state - otherwise low flow O2 at home using oxygen conserving devices - bronchodilation meds via MDI or nebs - corticosteroids Emphysema ABG Answer compensated respiratory acidosis CHF/ Pulmonary Edema CXR Answer -batwing/butterfly pattern, f...

ACCS-Patient Assessment questions with correct answers List he four critical life functions Answer Ventilation - moving air in and out of the lungs Oxygen - getting oxygen into the blood Circulation - moving the blood through the body Perfusion - getting blood and oxygen into the tissue Which of the four life function is the FIRST priority? Answer Ventilation HINT: Do not pick STAT ABG on the exam What assessments would determine how well a patient is ventilating? Answer Respi...

ACCS Review Practice Exam questions with correct answers Average urine output per hour is approximately? Answer 40 mL According to the Berlin Criteria, a patient is classified with severe ARDS when his Pao2/Fio2 ratio is? Answer Less than 100 A patient is admitted to the ED with a possible CVA. Which diagnostic test is most appropriate for identification of an acute cerebral infarction? Answer CT Scan: checks chest, abdomen and brain (2-3 dimensions) Cerebral angiography Answer measure...

ACCS Review Part 2 Respiratory questions with correct answers ARDS Classification , Berlin Criteria Answer Mild ARDS : P/F ratio < 300, Moderate ARDS: P/F ratio < 200, Severe ARDS: P/F ratio < 100 NSTEMI , Non-ST segment Elevation Myocardial Infarction Answer character of chest pain, prior history of CAD. ECG indicates ST segment depression STEMI , ST segment Elevation Myocardial Infarction Answer ECG indicates Elevation of ST segment Therapy to Reduce ICP Answer Normal ICP...

ACCS Review Part 1 Respiratory questions with correct answers Glasgow Coma Scale Answer is used to assess level of consciousness after head injury. Eye=4: verbal stimuli 3, to pain 2 Mouth=5: confused 4, inappropriate 3, incoherent 2. arm=6, localize pain 5, withdraw from pain 4, flex to pain 3, extension to pain 2. 8 or less intubate Changes in CVP can indicates Answer changes in Fluid balance, decreased CVp<2 can indicate hypovolemia, increased CVP>6 can indicate hypervolemia...

ACCS Respiratory questions with correct answers Normal Urine Output Answer 40 mL/hr (approx. 1 Liter/day) Decreased CVP (<2 mmHg) Answer Hypovolemia Increased CVP (>6 mmHg) Answer Hypervolemia Glasgow Coma Scale (GCS) Answer Eye-opening response Spontaneous opening- 4 To verbal stimuli- 3 To pain- 2 None- 1 Most appropriate verbal response Oriented- 5 Confused- 4 Inappropriate words- 3 Incoherent- 2 None- 1 Most intergrated motor response (arm) Obeys command...

ACCS Pharmacology questions with correct answers Fentanyl Citrate (Sublimaze) Answer Pain management (Analgesia) (Opioid) Use: any indication of pain (vitals, pain scale), s/p MVA, SCI, vent asynchrony Adverse: resp depression Notes: may also come across Sufentanil and Remifentanil (both opiod based as well) Morphine Answer Pain management (Analgesia) (Opioid) (Powerful narcotic)! Use: any indication of pain (vitals, pain scale), dyspnea, hospice, pallative care, end of life Adverse: r...