CRNA Interview
Advocacy Issues within the NP profession NP Full Practice Authority
NP signing POLST forms
Signature Authority - Global Signature Recognition
Modernize state licensure laws
Encourage sustainable re-imbursement as primar care practitioners
As a member of a small and elite profession, what ...Advocacy - state and federal
obligations will you have, if any, toward this ...Time and financial help
profession? ... Continual research/publications
... educating the future
...
asystole/PEA CPR (IV/IO access, Epinephrine every 3-5 minutes, advanced airway etC02)
SHOCK if SHOCKABLE
CPR TREAT REVERSIBLE CAUSES
Beta 1 stimulation results in.. Inotropy
Chonotropy
Dromotropy - increased conduction velocity
2/4/2026
, CRNA Interview
Clavidipine MOA Inhibiting influx of Calcium in L-type calcium channels in arterial smooth
muscle to decrease SVR.
Begin gtt at 1-2 mg/hr. Double dose every 90 seconds for goal blood
pressure. Note: that for every 1-2 mg/hr increase in dose, a 2-4 mmHg drop
in the systolic blood pressure should be seen.
Dobutamine 2-20 mcg/kg/min
"inodilator"
Beta 1 stimuation and vasodilation due to it's major metabolite 3-0
methyldobutamine.
Methyldobutamine is an inhibitor of alpha adrenoreceptors.
2/4/2026
, CRNA Interview
Dopamine MOA, dosing, uses Dose 2- 20 mcg/kg/min
Dubutamine MOA, dosing, uses 2-5 mcg/kg/min = dopaminergic stimulation
5-10 mcg/kg/min = beta 1 stimulation
10-20 mcg/kg/min predominant Alpha stimulation
Dubutamine
2-20 mcg/kg/min primarily B1 - Chonotropy/inotropy - B2 and A1 adenergic
agonist - B2 being slightly more prevalent than A1 resulting in a more
vasodilatory effect.
Do you work well under pressure? Give an example. Trauma Gun shot wound to face/abdomen Hypovolemic shock, young.
Trauma resusitation.
MTP+fentanyl
Calcium
MTP at TICU
2/4/2026
, CRNA Interview
Epinephrine MOA A1
A2
B1 - Stimulate Heart Rate through SA node, increase conduction through AV
node. Increase contractility to ATRIAL and VENTRICULAR cardiac muscle.
B2 - Smooth muscle relaxation. Resulting in dilation of the bronchial tree,
coronary arterial dilation. Also plays a role in insulin and glucagon secretion
in the pancreas. Also increases cardiac inotropy/chonotropy
B3 - Increase lypolysis and thermogenesis in brown adipose tissue.
**Cardiogenic shock or other shock states with a cardiac component.
Adjunctive therapy in severe septic shock
IVP in cardiac arrest to augment CPP
IVP while introducing PPV/intubation
Give an example of community service.
2/4/2026
Advocacy Issues within the NP profession NP Full Practice Authority
NP signing POLST forms
Signature Authority - Global Signature Recognition
Modernize state licensure laws
Encourage sustainable re-imbursement as primar care practitioners
As a member of a small and elite profession, what ...Advocacy - state and federal
obligations will you have, if any, toward this ...Time and financial help
profession? ... Continual research/publications
... educating the future
...
asystole/PEA CPR (IV/IO access, Epinephrine every 3-5 minutes, advanced airway etC02)
SHOCK if SHOCKABLE
CPR TREAT REVERSIBLE CAUSES
Beta 1 stimulation results in.. Inotropy
Chonotropy
Dromotropy - increased conduction velocity
2/4/2026
, CRNA Interview
Clavidipine MOA Inhibiting influx of Calcium in L-type calcium channels in arterial smooth
muscle to decrease SVR.
Begin gtt at 1-2 mg/hr. Double dose every 90 seconds for goal blood
pressure. Note: that for every 1-2 mg/hr increase in dose, a 2-4 mmHg drop
in the systolic blood pressure should be seen.
Dobutamine 2-20 mcg/kg/min
"inodilator"
Beta 1 stimuation and vasodilation due to it's major metabolite 3-0
methyldobutamine.
Methyldobutamine is an inhibitor of alpha adrenoreceptors.
2/4/2026
, CRNA Interview
Dopamine MOA, dosing, uses Dose 2- 20 mcg/kg/min
Dubutamine MOA, dosing, uses 2-5 mcg/kg/min = dopaminergic stimulation
5-10 mcg/kg/min = beta 1 stimulation
10-20 mcg/kg/min predominant Alpha stimulation
Dubutamine
2-20 mcg/kg/min primarily B1 - Chonotropy/inotropy - B2 and A1 adenergic
agonist - B2 being slightly more prevalent than A1 resulting in a more
vasodilatory effect.
Do you work well under pressure? Give an example. Trauma Gun shot wound to face/abdomen Hypovolemic shock, young.
Trauma resusitation.
MTP+fentanyl
Calcium
MTP at TICU
2/4/2026
, CRNA Interview
Epinephrine MOA A1
A2
B1 - Stimulate Heart Rate through SA node, increase conduction through AV
node. Increase contractility to ATRIAL and VENTRICULAR cardiac muscle.
B2 - Smooth muscle relaxation. Resulting in dilation of the bronchial tree,
coronary arterial dilation. Also plays a role in insulin and glucagon secretion
in the pancreas. Also increases cardiac inotropy/chonotropy
B3 - Increase lypolysis and thermogenesis in brown adipose tissue.
**Cardiogenic shock or other shock states with a cardiac component.
Adjunctive therapy in severe septic shock
IVP in cardiac arrest to augment CPP
IVP while introducing PPV/intubation
Give an example of community service.
2/4/2026
