ACCS Kettering Critical Care Study Questions with Answers

Three Types of Acute Respiratory Failure PaO2 < 50-60 torr on room air or PaO2/FIO2 ratio <300 Hypercapnic: PaCO2 > 50 torr Mixed Hypoxemic Respiratory Failure may be identified by PaO2 < 60 on RA SpO2 < 93% on RA PaO2/FIO2 ratio < 300 A-aDO2 > 200 Most common cause of Hypoxemic Respiatory failure ? V/Q mismatch Hypercapnic Respiratory Failure may be identified by? PaCO2 > 50 torr FVC <10mL/kg Maximal inspiratory pressure < -20cmH2O Clinical manifestations of hypercarbiac include AMS ranging from agitation to somnolence Increased WOB Bradypnea Cyanosis Diaphoresis Tachycardia ATS/ERS criteria for ARDS P/F ratior < 200 PCWP < 18 mmHg Diffuse bilateral infiltrates What does the Berline Criteria for Mild ARDS P/F ratio 200-300 Severe ARDS per Berlin Critieria P/F ratio < 100 Diffuse bilateral opacities What is the first priority for Acute Coronary syndrome? Restoration of coronary blood flow ACS; diagnosis is based on? Hx Clinical assessment ECG 12 lead Serum biomarkers Clinical manifestations of ACS? SOB CHest pain Fine basilar crackles/rales on auscultation Diaphoresis N/V