ACCS Lindsay Jones Practice Questions with Answers

Mucomyst Aka Acetylcystine Give w/bronchodilator to prevent bronchoconstriction Strength: 10% and 20 % Dosage: 2 to 4.0 ml Morphine used to treat anxiety and pain is the choice for ACCS test careful giving to COPD cause of respiratory drive Propofol 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 Used to thin secretions of COPD and CF patients What is the starting dose for Nitric Oxide? 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? 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 reduce the level by 10ppm every 2hrs until you reach 10. Then reduce by 2.5 every 2hrs Uses for Nitric Oxide therapy increased PVR like Pulmonary HTN Right heart failure patent foramen Ovale What does Nitric Oxide do? Dilates the pulmonary vessels to reduce work on heart and decrease pulmonary blood pressure Heliox uses Severe asthma ARDS COPD Upper airway obstruction Stridor Pulses Paradoxus