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AG-ACNP – Respiratory- Questions and Answers
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AG-ACNP – Respiratory- Questions and Answers
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AG-ACNP – Respiratory- Questions andAnswers
What is the gold standard for diagnosing a pneumothorax? Correct Ans-CXR
What is the gold standard in diagnosing PNA? Correct Ans-CXR - infiltrates
Blood cultures x 3
What is the hallmark feature of ARDS? Correct Ans-Refractory hypoxemia - giving O2 and it
doesnt help
CXR - whited out with diffuse bilateral infiltrates
What is the immediate intervention indicated for a tension pneumothorax? Correct Ans-
Needle thoracostomy 2nd ICS MCL
What is the indications for ipratroprium bromide (Atrovent)? Correct Ans-Secretion
management. Inhaled anticholinergic
What is the inpatient ICU management of a patient dx with PNA? Correct Ans-Beta lactam -
ceftriaxone (Rocephin)
PLUS
either azithromycin (Zithromax) or fluroquinolone
, What is the inpatient ICU management of a patient with Psuedomonas PNA? Correct Ans-
Antipneumococcal, antipseudomonal beta lactam
- Piperacillin-tazobactam (Zosyn)
- cefepime (Maxipime)
- Meropenem (Merrem)
PLUS
either ciprofloxacin (Cipro) or levofloxacin (Levaquin)
What is the inpatient management of an acute asthma attack? Correct Ans-O2
IVF
ABG
Albuterol 0.3 cc in 3 mL NSS q30-60 mins
Corticosteroids - Methylprednisolone 60-125 mg IV x 1 then 20 mg IV q4-6 hrs
Anticholinergic - Atrovent MDI 2-6 puffs q4-6 hrs
What is the leading cause of inpatient hospital death? Correct Ans-Pulmonary Embolism.
What is the management of a patient with ARDS? Correct Ans-Mechanical ventilation - Low
tidal volume, Increase PEEP
TV 5-7 or 6-8 ml/kg ideal body weight
Peak inspiratory flow 1-1.2 L PRN
PEEP 10 cmH20
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