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Exam (elaborations)

ACCS Respiratory; Questions & Answers (Latest Update)

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ACCS Respiratory; Questions & Answers (Latest Update) 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...

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  • August 24, 2024
  • 164
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ACCS
  • ACCS
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ACCS Respiratory; Questions & Answers (Latest
Update)
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)

,ACCS Respiratory; Questions & Answers (Latest
Update)
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

,ACCS Respiratory; Questions & Answers (Latest
Update)
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)

, ACCS Respiratory; Questions & Answers (Latest
Update)
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


Diplopia ✔✔Blurred or double vision


Nystagmus ✔✔involuntary, rapid, rhythmic movement of the eyeball


Peripheral edema ✔✔Presence of excess fluid in the tissue.


Caused by CHF, pulmonary hypertension, venous insufficiency and renal failure.


Rated +1,+2,+3,+4; higher numbers indicate more severs swelling.


May be described as "pitting edema"


ascites ✔✔abnormal accumulation of fluid in the abdomen, generally caused by

liver failure


Clubbing of fingers ✔✔Caused by chronic hypoxemia, suggestive of pulmonary

disease


Eupnea ✔✔normal respiratory rate, depth and rhythm

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