ACCS Airway Care Exam Questions With Verified Answers
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Course
ACCS
Institution
ACCS
ACCS Airway Care Exam Questions With
Verified Answers
Describe serial cough - answersmall breath & cough, large breath & cough, then deep breath &
hard cough
Describe huff cough and which patients is it most effective for? - answercoughing with open
glottis.
More effective for patients with C...
ACCS Airway Care Exam Questions With
Verified Answers
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
List 4 contraindications/hazards of bronchial hygiene therapy - answer✔unstable cardiovascular
system
unstable pulmonary system
unstable post-op status
untreated TB
List at least 4 contraindications for chest percussion - answer✔soft tissue trauma
Rib cage trauma/fractured ribs
hemoptysis / pulmonary hemorrhage
metastatic conditions
How is PEP therapy different that the flutter or acapella? - answer✔It does not oscillate
When should PEP therapy be discontinued? - answer✔If pt has sinusitis, epistaxis, middle ear
infection
If CPT, cough, and postural drainage is not working, what therapy should be recommended next?
- answer✔PEP therapy
What is the appropriate expiratory pressure for PEP therapy? How long should the treatment
last? How many times per day should it be scheduled? - answer✔10-20 cmH20
What are the positive effects of PEP therapy? - answer✔improve secretion clearance
reduce FRC
What is the technique for PEP therapy? - answer✔Take a bigger than normal breath, exhale (but
not forcefully), exhalation should be 2-3 times longer than inspiration
How should the RT teach breathing techniques for autogenic drainage? - answer✔breathe
smaller than normal breaths, increase to normal VT, then breathe bigger and higher volumes
What is the appropriate hertz, duration of therapy, and frequency for external percussive
devices? - answer✔2-25 (300-1500 cycles/min)
30 minutes
1-6 times per day
IPV is more expensive, but describe the theory of operation. - answer✔improves ventilation past
obstructions
delivers more aerosol to distal airways
coughing helps remove secretions
improves ventilation
What is the recommending starting psi for IPV? What does it regulate? - answer✔30 psi
regulates velocity of percussive pulses
What should be suctioned first, the oral airway or ETT? - answer✔ETT first then mouth
What are the appropriate suction pressures for the adult? - answer✔100-120 mmHg
How should the RT suction the left mainstem bronchus? - answer✔coude tip
What is the formula for calculating suction catheter size? For a size 8 ETT what is the correct
suction size? - answer✔Catheter size = (ID size/2) x 3
(8/2) x 3
4x3 = 12 FR
What is the calculation for determining ETT size for adults?
What is the recommended size for adult females and males? - answer✔ETT size = kg/10
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