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Exam (elaborations)

ACCS Exam Q’s & A’s 100% Verified (Latest)

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ACCS Exam Q’s & A’s 100% Verified (Latest) IBW calculation in Adults -Male = 50+2.5(ht in inches - 60) -Female = 45.5+2.5(ht in inches - 60) Tidal Volume (TV) Always start at 8ml/kg of IBW (can be range of 6-10 on test) Pressure 18-22 cm H2O - target appropriate tidal volume of 6-10 ml/kg...

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  • August 24, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ACCS
  • ACCS
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ACCS Exam Q’s & A’s 100% Verified (Latest)
IBW calculation in Adults ✔✔-Male = 50+2.5(ht in inches - 60)


-Female = 45.5+2.5(ht in inches - 60)


Tidal Volume (TV) ✔✔Always start at 8ml/kg of IBW (can be range of 6-10 on

test)


Pressure ✔✔18-22 cm H2O - target appropriate tidal volume of 6-10 ml/kg of

IBW


Respiratory Rate (initial vent settings) ✔✔- 10-24 considered normal on exam


- Can be as low as 8


- Pick higher range for ARDS

- Watch I:E ratios for air trapping


I time and I:E ratios ✔✔- Normal I times 0.8-1.2


- Normal I:E 1:2 - 1:3


- Larger I:E times for COPD,Asthma,CF 1:4-1:5


PEEP ✔✔- For exam anything over 6 is therapeutic and a reason needs to exist

before applying


it

, ACCS Exam Q’s & A’s 100% Verified (Latest)
- Uses of higher PEEP - refractory hypoxia ( V/Q mismatch )


- If given P/F ratio less than 200 good clue to increase PEEP


*Use fio2 instead of PEEP in hypotensive or hemodynamicly unstable patients*


Ventilation Issues - ACCS ✔✔For ACCS purposes, treating a pH up to as low 7.30

is reasonable


(particularly for ARDS where fixing a pH/PaCO2 may result in a lung injury)


Watch WOB - indicates asynchrony on vent or needs to be placed on one if not

on vent


Improving ventilation - conventional way ✔✔- Increase RR while ensuring

adequate I:E


- Cautiously consider increasing tidal volume but never beyond 8 ml/kg IBW


- Ensure patient is not air trapping


Improving ventilation - "advanced" ✔✔- Increase perfusion to health lung - bad

lung up, good


lung down (BLU GLD)

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