ACCS Review Part 2 Respiratory questions with correct answers

ARDS Classification , Berlin Criteria Answer Mild ARDS : P/F ratio < 300, Moderate ARDS: P/F ratio < 200, Severe ARDS: P/F ratio < 100 NSTEMI , Non-ST segment Elevation Myocardial Infarction Answer character of chest pain, prior history of CAD. ECG indicates ST segment depression STEMI , ST segment Elevation Myocardial Infarction Answer ECG indicates Elevation of ST segment Therapy to Reduce ICP Answer Normal ICP = 5 -15 mmHg. causes of increased ICP: swelling in brain, intracranial hematoma. Therapy to reduce ICP: Keep head elevated > 30degree. Mannitol- Osmotic agents to remove fluid from brain . Hyperventilation: PaCO2 = 25-30%. avoid hypotention. Minimize PEEP 10 or less Cardiogenic Shock Answer caused by Fluid overload. pulmonary Edema. decreased cardiac output and PCWP is elevated. treat with vasopressors and inotropic agents digitalis, digoxin. Diuretics (Furosemide) for cardiogenic pulmonary edema, CHF, hypervolemia