ACCS LINDSAY JONES EXAM QUESTIONS WITH
CORRECT ANSWERS
Mucomyst - CORRECT ANSWER-Aka Acetylcystine
Give w/bronchodilator to prevent bronchoconstriction
Strength: 10% and 20 %
Dosage: 2 to 4.0 ml
Morphine - CORRECT ANSWER-used to treat anxiety and pain
is the choice for ACCS test
careful giving to COPD cause of respiratory drive
Propofol - CORRECT ANSWER-Aka diprivan
used for quick sedation and anesthesia in high doses
has very short half life good for getting pt of sedation quick.
Dornase Alpha - CORRECT ANSWER-Used to thin secretions of COPD and CF patients
What is the starting dose for Nitric Oxide? - CORRECT ANSWER-2 to 4 ppm
start 20 or higher. Usually start 40ppm on exam and titrate down
Usually given thru vent.
Why should Nitric Oxide be slowly stopped? - CORRECT ANSWER-Just turning it off without allowing
time to wean can cause rebound affects high pulmonary pressure. Sometimes even worse than before.
Pa02 can decrease and PVR and mPAP will increase
How do you wean from iNO therapy - CORRECT ANSWER-reduce the level by 10ppm every 2hrs until you
reach 10. Then reduce by 2.5 every 2hrs
ACCS Lindsay Jones exam questions with correct answers
, Uses for Nitric Oxide therapy - CORRECT ANSWER-increased PVR like Pulmonary HTN
Right heart failure
patent foramen Ovale
What does Nitric Oxide do? - CORRECT ANSWER-Dilates the pulmonary vessels to reduce work on heart
and decrease pulmonary blood pressure
Heliox uses - CORRECT ANSWER-Severe asthma
ARDS
COPD
Upper airway obstruction
Stridor
Pulses Paradoxus
Pulses Paradoxus - CORRECT ANSWER-Airway resistance is so high that BP falls with inspiration
Affects of heliox on COPD - CORRECT ANSWER-helps keep FRC down and limit air trapping
Heliox 70/30 - CORRECT ANSWER-Admixture is 1.6
use if pt needs small amt of supplemental 02
Heliox 80/20 - CORRECT ANSWER-admixture is 1.8
use for pt with low 02 need. DO NOT use with cyanosis. Use for max airway relief.
Heliox 60/40 - CORRECT ANSWER-Admixture Factor 1.4
has lowest helium amount and highest 02
Calculate actual gas flow to delivered for 80/20 heliox with a flow meter set at 10 L/min.
Why is this significant? - CORRECT ANSWER-80/20 factor = 1.8
ACCS Lindsay Jones exam questions with correct answers
CORRECT ANSWERS
Mucomyst - CORRECT ANSWER-Aka Acetylcystine
Give w/bronchodilator to prevent bronchoconstriction
Strength: 10% and 20 %
Dosage: 2 to 4.0 ml
Morphine - CORRECT ANSWER-used to treat anxiety and pain
is the choice for ACCS test
careful giving to COPD cause of respiratory drive
Propofol - CORRECT ANSWER-Aka diprivan
used for quick sedation and anesthesia in high doses
has very short half life good for getting pt of sedation quick.
Dornase Alpha - CORRECT ANSWER-Used to thin secretions of COPD and CF patients
What is the starting dose for Nitric Oxide? - CORRECT ANSWER-2 to 4 ppm
start 20 or higher. Usually start 40ppm on exam and titrate down
Usually given thru vent.
Why should Nitric Oxide be slowly stopped? - CORRECT ANSWER-Just turning it off without allowing
time to wean can cause rebound affects high pulmonary pressure. Sometimes even worse than before.
Pa02 can decrease and PVR and mPAP will increase
How do you wean from iNO therapy - CORRECT ANSWER-reduce the level by 10ppm every 2hrs until you
reach 10. Then reduce by 2.5 every 2hrs
ACCS Lindsay Jones exam questions with correct answers
, Uses for Nitric Oxide therapy - CORRECT ANSWER-increased PVR like Pulmonary HTN
Right heart failure
patent foramen Ovale
What does Nitric Oxide do? - CORRECT ANSWER-Dilates the pulmonary vessels to reduce work on heart
and decrease pulmonary blood pressure
Heliox uses - CORRECT ANSWER-Severe asthma
ARDS
COPD
Upper airway obstruction
Stridor
Pulses Paradoxus
Pulses Paradoxus - CORRECT ANSWER-Airway resistance is so high that BP falls with inspiration
Affects of heliox on COPD - CORRECT ANSWER-helps keep FRC down and limit air trapping
Heliox 70/30 - CORRECT ANSWER-Admixture is 1.6
use if pt needs small amt of supplemental 02
Heliox 80/20 - CORRECT ANSWER-admixture is 1.8
use for pt with low 02 need. DO NOT use with cyanosis. Use for max airway relief.
Heliox 60/40 - CORRECT ANSWER-Admixture Factor 1.4
has lowest helium amount and highest 02
Calculate actual gas flow to delivered for 80/20 heliox with a flow meter set at 10 L/min.
Why is this significant? - CORRECT ANSWER-80/20 factor = 1.8
ACCS Lindsay Jones exam questions with correct answers
