ACCS Review Part 1 Respiratory, Questions and answers (Exam Review)

ACCS Review Part 1 Respiratory, Questions and answers (Exam Review) Glasgow Coma Scale - -is used to assess level of consciousness after head injury. Eye=4: verbal stimuli 3, to pain 2 Mouth=5: confused 4, inappropriate 3, incoherent 2. arm=6, localize pain 5, withdraw from pain 4, flex to pain 3, extension to pain 2. 8 or less intubate Changes in CVP can indicates - -changes in Fluid balance, decreased CVp2 can indicate hypovolemia, increased CVP6 can indicate hypervolemia Orthopnea - -difficulty breathing except in the upright position, CHF patients General malaise - -Electrolyte imbalance - nausea, weakness, headache Hemiparesis - -abnormal posturing, could indicate brain injury. Miosis - -pinpoint pupils ptosis - -drooping of the upper lids diplopia - -blurred or double vision nystagmus - -cyclic movement of the eyeballs Erythema - -redness of the skin Ecchymosis - -subcutaneous hematoma or bruises Tracheal Deviation: Pulled to Abnormal side - -Pulmonary atelectasis, Pulmonary fibrosis, diaphragmatic paralysis Tracheal Deviation: Pushed to normal side - -Massive PE, Tension Pneumothorax, Neck or Thyroid tumors outside of lung Flat or Dull sounds - -flat- heard over the sternum, muscle or areas of atelactsis, dull- heard over fluid-filled