ACCS Q&A Package

Mucomyst Aka Acetylcystine Give w/bronchodilator to prevent bronchoconstriction Strength: 10% and 20 % Dosage: 2 to 4.0 ml Morphine used to treat anxiety and pain is the choice for ACCS test careful giving to COPD cause of respiratory drive Propofol Aka diprivan used for quick sedation a...

DRUGS ROUTES OF ADMINISTRATION (5) 1. Enteral 2. Parenteral 3. Transdermal 4. Inhalation 5. Topical What is enteral route ? ENTERAL - absorbed in GI a. sublingual b. oral c. buccal/ lingual/ sublingual d. rectal What is the Parenteral route? (3) Parenteral a. Intravenous ( IV) b. int...

Describe serial cough small breath & cough, large breath & cough, then deep breath & hard cough Describe huff cough and which patients is it most effective for? coughing with open glottis. More effective for patients with COPD and head trauma to prevent increased ICP Name the top 2 diseases ...

Three Types of Acute Respiratory Failure PaO2 < 50-60 torr on room air or PaO2/FIO2 ratio <300 Hypercapnic: PaCO2 > 50 torr Mixed Hypoxemic Respiratory Failure may be identified by PaO2 < 60 on RA SpO2 < 93% on RA PaO2/FIO2 ratio < 300 A-aDO2 > 200 Most common cause ...

The four critical life functions 1. Ventilation 2. Oxygenation 3. Circulation 4. Perfusion How is ventilation assessed RR, Vt, chest movement, breath sounds, ETCO2, PaCO2 How is oxygenation assessed HR, color, sensorium, SpO2, PaO2 How is circulation assessed HR and strength, cardiac out...

Alveolar Oxygen Tension (PAO2)/Alveolar Air Equation Shortcut: (Fio2 x 7) -Paco2 +10 VD/VT and ratio Paco2-Peco2/Paco2 Make it a ratio by multiply answer by 100. 20-40% (up to 60% for vent pts) Alveolar Minute Ventilation (VT-VD) x f Anatomic deadspace 1ml per 1lb body weight Work of bre...

Mallampati Scoring Score 1: full visualization of uvula, soft palate, tonsils, airway full open Score 2: may be able to visualize uvula, soft palate and upper portions of tonsils Score 3: soft and hard palate visible and base of vallecula. Issues when intubating Score 4: only the hard palate is v...

A difficult intubation is anticipated with an obese pt. The decision is made to intubate by video laryngoscopy. Which of the following is LEAST likely to be needed: A) Cook's Exchanger B) Rigid Stylet C) Cuffed Endotracheal Tube D) Video-enabled Laryngoscope A) cook's exchanger Video lar...

Normal Urine Output 40 mL/hr (approx. 1 Liter/day) Decreased CVP (<2 mmHg) Hypovolemia Increased CVP (>6 mmHg) Hypervolemia Glasgow Coma Scale (GCS) Eye-opening response Spontaneous opening- 4 To verbal stimuli- 3 To pain- 2 None- 1 Most appropriate verbal response Oriented...

In difficult intubation, when traditional intubation with laryngoscope has failed and patient is starting to have low saturations, why is video laryngoscopy preferred over fiberoptic bronchoscopy to intubate? Fiberoptic bronchoscopy is an alternative method, but is technically difficult and requires...

List the four critical life functions 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? Ventil...

What is the thyromental distance? 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? Less than 6 cm Thyromental distance: what suggests a non-prob...

Average urine output per hour is approximately? 40 mL According to the Berlin Criteria, a patient is classified with severe ARDS when his Pao2/Fio2 ratio is? Less than 100 A patient is admitted to the ED with a possible CVA. Which diagnostic test is most appropriate for identification of an ac...