Exam (elaborations)
ACNP BOARDS- QUESTIONS & ANSWERS
- Course
- Institution
ACNP BOARDS- QUESTIONS & ANSWERS
[Show more]
Content preview
ACNP BOARDS- QUESTIONS & ANSWERSmetabolic Alkalosis Labs: Correct Ans-pH >7.45
HCO3 >26
pCO2 >45
Serum K and Cl decreased
Maybe increased AGAP
Management of Metabolic Alkalosis Correct Ans-Correct volume deficit w/ NS (NaCl) or
KCl, D/C diuretics, H2blockes for GI loss, Acetazolamide 250-500 mg IV if fluids
contraindicated.
R-O-M-E Correct Ans-Respiratory opposite, Metabolic Equal.
First degree burns Correct Ans-Dry, Red, NO BLISTERS, epidermis ONLY.
Second degree burns Correct Ans-Moist, BLISTERS, beyond epidermis.
Third degree burns Correct Ans-Dry, leathery, black, pearly, waxy, extends to fat, muscle, and
bone.
Rule of nine Correct Ans-Each arm 9%,
Each leg 18%,
,Thorax 18%
front & 18%
back, Head 9%,
Perineum/genitals 1%.
Fluid resuscitation for burns (Parkland formula) Correct Ans-4 ml/kg X TBSA for 1st 24H:
Give have in 1st 8H, then 1⁄4 Q8 for 16H.
When do fluid resuscitation for burn pt begin? Correct Ans-At time of burn, not when pt
reaches hospital
Patient comes in with 60% burns, weighing 220lbs. What is his 24H fluid requirement? First 8
H? Correct Ans-60 x (220/2.2) x 4 = 24,000 ml or 24 L;
1st 8 hrs = 12L
Monitor burn patients for what metabolic or electrolyte complications? Correct Ans-
Metabolic Acidosis during early resuscitation & Hyperkalemia for 24-48 then hypokalemia for 3
days post-burn.
For burn patient when is prophylactic intubation indicated? Correct Ans-Burns to face,
Singed nares/eyebrows, dark soot/mucous from nares/mouth.
Emergent Burn management in field includes: Correct Ans-Wrap in clean, wet towel and
transport to nearest hospital.
,Emergent burn management in hospital: Correct Ans-Use NS and wrap with sterile towels,
maintain
temp at (37-37.5 C),
pain management (Fentanyl#1 or Morphine)
Silver sulfadiazine for 2nd or 3rd degree burns.
How to manage a Tar burn: Correct Ans-Use petroleum based product (or Bacitracin or
mayonnaise) to remove burning tar.
When to refer to burn center per American Burn Association. Correct Ans-A. Partial
thickness burns > 10% TBSA
B. All 3rd degree/electrical/chemical/inhalation burns
C. Pt with preexisting medical disorders that could complicate management, prolong recovery or
affect mortality.
D. Pt with Concomitant trauma
E. Burn children if no qualified equip/personnel
F. Pt who require special social/emotional/rehab services.
Management for Dog, Cat, or Human Bites: Correct Ans-Irrigate ASP w/ NS or LR, Rabies
status?, Hand/BLE wound leave open,
wound > 6 H leave open.
Prophylactic ABX for 3-7 days (Augmentin).
, Most common causes of outpatient cellulitis: Correct Ans-Strep pyogenes (Group A) #1,
Staph aureus #2
Most common causes of inpatient cellulitis: Correct Ans-S. Aureus (MRSA), Strep & Gram (-
) organisms (E. coli, Klebsiella, Pseudomonas, Enterobacter)
Treatment for MRSA cellulitis: Correct Ans-Bactrim #1, Doxy/minocycline, Clindamycin.
Treatment for Group A Strep cellulitis: Correct Ans-Bactrim + Beta lactam (PCN, Amox,
Keflex) Doxy/minocycline + Beta lactam Clindamycin.
Patient has a sore on his foot w/o systemic symptoms. What would the treatment be? With
systemic syptoms (i.e., fever), tx would be? Correct Ans-Non-systemic: I & D, Cultures, no
ABX;
Systemic: Bactrim.
What is the first and most important step in poison or drug OD treatment? Correct Ans-
History
Treatment for poison/drug OD? Correct Ans-Charcoal, Gastric lavage (if < 30 min), Diuresis,
dialysis, hemoperfusion and plasmapheresis.
Ipecac can be used for "at home" remedy but delays charcoal use and never should be used for
corrosive or detergents (bleach, liq plumber, soap, fabric softener, etc).
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamRoom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now