NBRC Exam ACCS Study Information Questions with 100% Correct Answers | Updated & Verified

NBRC Exam ACCS Study Information Questions with 100% Correct Answers | Updated & Verified In difficult intubation, when traditional intubation with laryngoscope has failed and patient is starting to have low saturations, why is video laryngoscopy preferred over fiberoptic bronchoscopy to intubate? - Fiberoptic bronchoscopy is an alternative method, but is technically difficult and requires specialized equipment Patient is on a ventilator with a chest tube in place. What is the cause of the low minute alarm and increased peak pressures (leak)? And what is your action to look for? - This is a bronchopleural fistula, air leak causing low minute ventilation alarm. Action is to look at water seal chamber. Succinocholine is contraindicated in what type of patients, what pathology? - Burn patients (high potassium, need fluids) How can high flow nasal cannula help with a patient having pulmonary contusion (bruised lungs) from MVA, and atelectasis on x ray with desaturation? - HFNC can improve atelectasis by providing CPAP (PEEP) to recruit alveoli while lungs heal, and this will increase saturation as well. Brain dead patients, have an increase of sugar in their blood leading to what condition? - Polyuria, increased urination leading to the body trying to excrete sugar Normal Troponin level, even though troponin is at .2, what does this NOT suggest? - 0.0 - 0.10 ng/mL, (less than .001 mg/ml) myocardial infaction. Since transudate suggest an effusion from a non malignant not infected source, what is not indicated? When is a chest tube insertion recommended for transudate? - Invasive more aggressive options. Can just monitor patient. If pleural effusion reaccumulates If a recruitment maneuver works in patient, even in prone positioning or supine, what is your next step to maintain this increased saturation of patient? - Increase PEEP level Vital capacity normal value is 10 mg/ml, a value of 7 indicates what? - Weakness! Place on ventilator! Intubate! What is normal ICP range in mmhg? What is a trigger for decorticate posturing in patient and what can help? - 5-15 mmhg, Fentanyl is good for relieving painful stimulus causing muscles to contract without hemodynamic effects