Exam (elaborations)
ACCS KETTERING CRITICAL CARE OE COMPLETE QUESTIONS AND ANSWERS (VERIFIED)
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ACCS KETTERING CRITICAL CARE OE COMPLETE QUESTIONS AND ANSWERS (VERIFIED)
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ACCS KETTERIN G CRITICAL CARE OE COMPLETE QUESTIONS AND ANSWERS (VERIFIED) Three Types of Acute Respiratory Failure ANSWER = PaO2 < 50 -60 torr on room air or PaO2/FIO2 ratio <300 Hypercapnic: PaCO2 > 50 torr Mixed Hypoxemic Respiratory Failure may be identified by ANSWER = PaO2 < 60 on RA SpO2 < 93% on RA PaO2/FIO2 ratio < 300 A-aDO2 > 200 Most common cause of Hypoxemic Respiatory failure ? ANSWER = V/Q mismatch Hypercapnic Respiratory Failure may be identifie d by? ANSWER = PaCO2 > 50 torr FVC <10mL/kg Maximal inspiratory pressure < -20cmH2O Clinical manifestations of hypercarbiac include ANSWER = AMS ranging from agitation to somnolence Increased WOB Bradypnea Cyanosis Diaphoresis Tachycardia ATS/ERS criteria for ARDS ANSWER = P/F ratior < 200 PCWP < 18 mmHg Diffuse bilateral infiltrates What does the Berline Criteria for Mild ARDS ANSWER = P/F ratio 200 -300 Severe ARDS per Berlin Critieria ANSWER = P/F ratio < 100 Diffuse bilateral opa cities What is the first priority for Acute Coronary syndrome? ANSWER = Restoration of coronary blood flow ACS; diagnosis is based on? ANSWER = Hx Clinical assessment ECG 12 lead Serum biomarkers Clinical manifestations of ACS? ANSWER = SOB CHest pain Fine basilar crackles/rales on auscultation Diaphoresis N/V Three "I's" of MI ANSWER = Ischemia (reduced blood flow NSTEMI) Injury: acute damage to muscle that results from ischemia (STEMI) INfarction: necrosis or death of muscle end result o f STEMI Leading cause of death from ACS is? ANSWER = cardiogenic shock Non -ST segment elevation MI (NSTEMIC) clinical presentation? ANSWER = Character of chest pain: angina at rest, new onset angina, or increasing angina Prior hx of CAD Serial ECG: S T segment depression What biomarkers are useful for diagnosing MI and myocardial injury? ANSWER = Troponin >0.1 ng/mL indicates high risk CK or creatinine phosphokinase (Nl male 52 -336U/L Femaile 38 -176 CK-MB Male: <7.7ng/ml Femal < 4.3 ng/ml What indicates are at high risk of death with ACS? ANSWER = Troponin > 0.1 ng/ml What are CK or creatinine phosphokinase levels for males vs. femalesThe benefits of buying summaries with Stuvia:
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