ACCS Respiratory Questions and Answers Graded A+

ACCS Respiratory Questions and Answers Graded A+ Normal Urine Output 40 mL/hr (approx. 1 Liter/day) Decreased CVP (2 mmHg) Hypovolemia Increased CVP (6 mmHg) Hypervolemia Glasgow Coma Scale (GCS) Eye-opening response Spontaneous opening- 4 To verbal stimuli- 3 To pain- 2 None- 1 Most appropriate verbal response Oriented- 5 Confused- 4 Inappropriate words- 3 Incoherent- 2 None- 1 Most intergrated motor response (arm) Obeys commands- 6 Localizes pain- 5 Withdraws from pain- 4 Flexion to pain- 3 Extension to pain- 2 None- 1 Orthopnea ability to breathe only in an upright position (CHF, Heart problem) General malaise Run down feeling, nausea, weakness, fatigue, headache (electrolyte imbalance) Dyspnea Grade 1- occurs after unusual exertion Grade 2- breathless after going up hills or stairs Grade 3- while walking at normal speed Grade 4- slowly walking a short distance Grade 5- at rest, shaving, dressing, etc. vasovagal syncope Common dizziness and fainting, caused by loss of peripheral venous tone orthostatic hypotension Excessive drop in BP when assuming the standing position Carotid sinus syncope Associated with hypertension carotid sinus - more common in elderly patients Cough (tussive) syncope Transient loss of consciousness following severe coughing FUO fever of unknown origin heart rate 60-100 bpm Respiratory rate 12-20 breaths per minute Temperature Norm. Oral- 97.0-99.5 *F (36.5-37.5 *C) Rectal- 98.7-100.5 *F (37.1-38.1 *C) Ear- 98.7-100.5 *F (37.1-38.1*C) PERRLA pupils- equal, round, reactive to light and accommodation Miosis constricted pupils (pinpoint) Ptosis Drooping of the upper eyelid