ACCS Lindsay Jones questions with correct
answers
Mucomyst Answer✔✔ Aka Acetylcystine
Give w/bronchodilator to prevent bronchoconstriction
Strength: 10% and 20 %
Dosage: 2 to 4.0 ml
Morphine Answer✔✔ used to treat anxiety and pain
is the choice for ACCS test
careful giving to COPD cause of respiratory drive
Propofol 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 Answer✔✔ Used to thin secretions of COPD and CF patients
What is the starting dose for Nitric Oxide? 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? 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 Answer✔✔ reduce the level by 10ppm every
2hrs until you reach 10. Then reduce by 2.5 every 2hrs
Uses for Nitric Oxide therapy Answer✔✔ increased PVR like Pulmonary HTN
Right heart failure
patent foramen Ovale
What does Nitric Oxide do? Answer✔✔ Dilates the pulmonary vessels to reduce
work on heart and decrease pulmonary blood pressure
Heliox uses Answer✔✔ Severe asthma
ARDS
COPD
Upper airway obstruction
Stridor
Pulses Paradoxus
Pulses Paradoxus Answer✔✔ Airway resistance is so high that BP falls with
inspiration
Affects of heliox on COPD Answer✔✔ helps keep FRC down and limit air
trapping
Heliox 70/30 Answer✔✔ Admixture is 1.6
use if pt needs small amt of supplemental 02
Heliox 80/20 Answer✔✔ admixture is 1.8
answers
Mucomyst Answer✔✔ Aka Acetylcystine
Give w/bronchodilator to prevent bronchoconstriction
Strength: 10% and 20 %
Dosage: 2 to 4.0 ml
Morphine Answer✔✔ used to treat anxiety and pain
is the choice for ACCS test
careful giving to COPD cause of respiratory drive
Propofol 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 Answer✔✔ Used to thin secretions of COPD and CF patients
What is the starting dose for Nitric Oxide? 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? 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 Answer✔✔ reduce the level by 10ppm every
2hrs until you reach 10. Then reduce by 2.5 every 2hrs
Uses for Nitric Oxide therapy Answer✔✔ increased PVR like Pulmonary HTN
Right heart failure
patent foramen Ovale
What does Nitric Oxide do? Answer✔✔ Dilates the pulmonary vessels to reduce
work on heart and decrease pulmonary blood pressure
Heliox uses Answer✔✔ Severe asthma
ARDS
COPD
Upper airway obstruction
Stridor
Pulses Paradoxus
Pulses Paradoxus Answer✔✔ Airway resistance is so high that BP falls with
inspiration
Affects of heliox on COPD Answer✔✔ helps keep FRC down and limit air
trapping
Heliox 70/30 Answer✔✔ Admixture is 1.6
use if pt needs small amt of supplemental 02
Heliox 80/20 Answer✔✔ admixture is 1.8
