AG-ACNP – Respiratory- Questions and Answers

AG-ACNP – Respiratory- Questions and
Answers
What is the gold standard for diagnosing a pneumothorax? Correct Ans-CXR




What is the gold standard in diagnosing PNA? Correct Ans-CXR - infiltrates

Blood cultures x 3



What is the hallmark feature of ARDS? Correct Ans-Refractory hypoxemia - giving O2 and it
doesnt help

CXR - whited out with diffuse bilateral infiltrates



What is the immediate intervention indicated for a tension pneumothorax? Correct Ans-
Needle thoracostomy 2nd ICS MCL



What is the indications for ipratroprium bromide (Atrovent)? Correct Ans-Secretion
management. Inhaled anticholinergic



What is the inpatient ICU management of a patient dx with PNA? Correct Ans-Beta lactam -
ceftriaxone (Rocephin)

PLUS

either azithromycin (Zithromax) or fluroquinolone

, What is the inpatient ICU management of a patient with Psuedomonas PNA? Correct Ans-
Antipneumococcal, antipseudomonal beta lactam

- Piperacillin-tazobactam (Zosyn)

- cefepime (Maxipime)

- Meropenem (Merrem)



PLUS

either ciprofloxacin (Cipro) or levofloxacin (Levaquin)



What is the inpatient management of an acute asthma attack? Correct Ans-O2

IVF

ABG

Albuterol 0.3 cc in 3 mL NSS q30-60 mins

Corticosteroids - Methylprednisolone 60-125 mg IV x 1 then 20 mg IV q4-6 hrs

Anticholinergic - Atrovent MDI 2-6 puffs q4-6 hrs



What is the leading cause of inpatient hospital death? Correct Ans-Pulmonary Embolism.




What is the management of a patient with ARDS? Correct Ans-Mechanical ventilation - Low
tidal volume, Increase PEEP

TV 5-7 or 6-8 ml/kg ideal body weight

Peak inspiratory flow 1-1.2 L PRN

PEEP 10 cmH20