Social Sciences > QUESTIONS & ANSWERS > ACCS Questions and Answers Rated A (All)

ACCS Questions and Answers Rated A

Document Content and Description Below

ACCS Questions and Answers Rated A propofol ✔✔Produces both rapid anesthesia and recovery, has antiemetic activity and commonly used for outpatient surgery, may cause marked hypotension Etomidate ✔✔rapid onset, rapid recovery, does not effect HR, MAP, CO ketamine ✔✔does not affect responsiveness to CO2. Increases ICP, CPP Succinylcholine ✔✔Depolarizing neuromuscular blocker, rapid onset, short duration, may cause hyperkalemia Rocuronium (Zemuron) ✔✔Non-depolarizing neuromuscular blocker agent. rapid onset, intermediate duration Versed (midazolam) ✔✔short term sedation. Labetalol ✔✔beta blocker decreases BP, HR Propanolol ✔✔beta blocker lowers HR, effective in patients with sustained tachycardia Glasgow Coma Scale (GCS) ✔✔scale used to assess the level of consciousness 3-15 eye opening response 1-4 to verbal stimuli (3) most appropriate verbal response 1-5 confused (4) motor response 1-6 withdraws from pain (4) RASS ✔✔+4 combative-overly combative, violent, immediate danger to staff +3 very agitated-pulls orvremoves tubes or catheters, aggressive +2 agitated- frequent nonpurposeful movements +1 restless- anxious but movement of aggressive 0 alert and calm - -1 drowsy- not fully awake but sustained awakening to voice -2 light sedation- briefly awakens with eye contact to voice -3 mod sedation- movement or eye opening to voice but o eye contact -4 deep sedation -no response to verbal stimuli but eye opening to ph6sical stimuli -5 unarousable- no response to verbal or physical stimuli ET Size ✔✔Adult = wt(kg) ÷ 10 Adult Males = 7.5-8.5 female = 6.5-8 tube markings oral 21-25 at lips nasal 26-29 at nares coagulation studies ✔✔platelets 150,000-400,000 PT 12-15 sec warfarin APTT 24-32 sec heparin INR 0.8-1.2 thrombocytopenia platelets<50,000 Thrombocytosis platelets > 1,000,000 renal function ✔✔creatine 0.7-1.3 mg/dl blood Urea Nitrogen (BUN) 7-20 mg/dl Electrolytes ✔✔potassium (K+) 4 low occurs with met alkolosis Sodium (Na+) 140 chloride (Cl-) 90 Bicarbonate (HCO3-) 24 Calcium (Ca) 4.5-5.25 CBC ✔✔RBC =5 Hb =15 HCT =45 WBC = 5,000 -10,000 Kuss Maul ✔✔increased RR (usually > 20). Increased depth, irregular rhythm, breathing sounds labored metabolic acidosis, renal failure, diabetic ketoacidos Biot's respirations ✔✔Rapid, deep breathing with abrupt pauses between each breath. Equal depth to each breath. CNS problem Apneustic breathing ✔✔Characterized by prolonged inspirations unrelieved by attempts to exhale, which indicates trauma to the pons. ✔✔

[Show More]

Last updated: 3 years ago

Preview 1 out of 5 pages

Buy Now

Instant download