ACCS Questions and Correct Detailed Answers (Verified
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Urine Output
Ans: 40ml/hr
Heart Rate
Ans: 60 - 100bpm
Respiratory Rate
Ans: 12 - 20 bpm
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Blood pressure
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Ans: Systolic 90 - 140
Diastolic 60 - 90
WOB
Ans: 0.5 - 0.7 J/L or 0.05 - 0.07 Kg-m/l
ETCO2
Ans: 34 - 36 torr or 3 - 6%
Physiological deadspace
Ans: = Vd/Vt
Normal Value 20 - 40%
20 %- 60% (Ventilated patients)
Alveolar Air Equation (Short cut)
Ans: PAO2 = (FiO2 * 7) - (PaO2 + 10)
A - a Gradient
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Ans: 25 - 65 torr on 100%
A - a Gradient = 66 - 300 torr
Ans: V/Q mismatch
A - a Gradient > 300 torr
Ans: Shunting
Arterial Oxygen Content (CaO2)
Ans: 17 - 20 vol%
Good ABG => CaO2 > 17
Bad ABG => CaO2 < 15
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Mixed Venous O2 Content (CvO2)
Ans: 12 - 16 Vol%
List the 4 critical life functions
Ans: Ventilation
Oxygenation
Circulation
Perfusion
Which of the 4 critical life function is the first priority
Ans: Ventilation
What assessments world determine how well a patient is ventilating
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Ans: Respiratory Rate
Tidal volume
Chest movement
Breath sounds
ETCO2, PaCO2
What assessments world determine how well a patient is oxygenating
Ans: Heart rate
Color
Sensorium
SaO2, PaO2
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What information would help the adult critical care specialist determine if a
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patient's circulation is adequate
Ans: Pulse
Heart rate and strength
Cardiac output
What changes would indicate that a patient may not have adequate
perfusion
Ans: Decrease - blood pressure
- sensorium
- temp
- urine output
Unstable hemodynamic
Define "Advance directive"
Ans: Set of instruction documenting what treatment a patient would want
if he was unable to make medical decision
List the 4 types of advance directives
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Ans: - DNR
- DNI
- Living will
- Durable power of attorney
Describe the 4 type of syncope
Ans: - Vasovagal
- Orthostatic hypotension
- Carotid sins syncope
- Cough (tussive) syncope
Hemiparesis
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Ans: (abnormal posturing) could indicate brain injury
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Pectus Carinatum
Ans: Anterior protrusion of the sternum
Pectus Excavatum
Ans: Depression of part of the entire sternum
Cheyen - stokes breathing
Ans: gradually increasing then decreasing rate and depth in a cycle lasting
from 30 - 180 seconds, with periods of apnea lasting up to 60 seconds
Cause: Drug overdose, increased ICP, meningitis
Diseases associated with Cheyen - stokes breathing
Ans: Drug overdose, increased ICP, meningitis
Biot's breathing