CRNA Interview- Clinical 1 Questions And Answers
Peak Pressure is alarming, what do you check ANSWER secretion plug, pneumo, coughing,
biting on tube, swelling, bronchospasm, tubing kinked, pulmonary edema, decreased chest wall
compliance
Supplies for intubation ANSWER crash cart, glidescope, medications, RN, RT, MD, airway cart
What are some reasons for post operative tachycardia? ANSWER pain, bleeding, aware of
surgery, adrenaline overdose, low BP, other vital changes, medication reaction, hypercarbia,
inadequate ventilation, cardiac rhythm abnormalities
Explain the types of anesthesia ANSWER local- eliminate pain at specific site, such as a dental
procedure or mole removal
regional- epidural/spinal/nerve block, takes away pain from a specific region of body, such as
in a C-section
General- patient is completely unconscious with a breathing tube in, feels and senses
absolutely nothing, will not remember the procedure-heart surgery, transplant
MAC- monitored anesthesia care, conscious sedation but patient is ready to be intubated and
have general anesthesia if needed- lumbar puncture, G button placement
Intra Aortic Balloon Pump-explain ANSWER inserted into the aorta to help heart pump
-allows blood flow to the coronary arteries
-used short term in shock or heart failure
-dilates when heart is in diastole to pump blood to the coronary arteries, deflates when heart
in systole
, Swan Catheters- ANSWER catheter that goes into the RA to RV to PA, measures the pressures
in and around the heart
CVVH- ANSWER takes away blood at a constant rate at lower volumes, better for unstable BP
ECMO- ANSWER VV- assists lungs, returned venous
VA- assists heart and lungs, returned arterial
ECMO- oxygenizes blood within a circuit
ventilator settings- ANSWER TV- 6-8/kg
PEEP- increased if not oxygenating
Fi02- 30 to 100 %
PS- smaller the tube higher the PS, usually 5-10
Rate- 14-30 most common
MTP - ANSWER replaces patients total blood volume in less than 24 hours, or acute admin of
more than half patients blood volume/hour
- give PRBC, FFP/cryo, platelets usually 1:1:1 or 2:1:1
ICP - ANSWER normal 5-15
>20 treat
causes- tumor, brain injury, trauma, shunt malfunction, meningitis, high BP, surgery,stroke
treat- raise HOB, EVD, mannitol, hypertonic saline, low CO2
EVD - ANSWER keep level to tragus
Peak Pressure is alarming, what do you check ANSWER secretion plug, pneumo, coughing,
biting on tube, swelling, bronchospasm, tubing kinked, pulmonary edema, decreased chest wall
compliance
Supplies for intubation ANSWER crash cart, glidescope, medications, RN, RT, MD, airway cart
What are some reasons for post operative tachycardia? ANSWER pain, bleeding, aware of
surgery, adrenaline overdose, low BP, other vital changes, medication reaction, hypercarbia,
inadequate ventilation, cardiac rhythm abnormalities
Explain the types of anesthesia ANSWER local- eliminate pain at specific site, such as a dental
procedure or mole removal
regional- epidural/spinal/nerve block, takes away pain from a specific region of body, such as
in a C-section
General- patient is completely unconscious with a breathing tube in, feels and senses
absolutely nothing, will not remember the procedure-heart surgery, transplant
MAC- monitored anesthesia care, conscious sedation but patient is ready to be intubated and
have general anesthesia if needed- lumbar puncture, G button placement
Intra Aortic Balloon Pump-explain ANSWER inserted into the aorta to help heart pump
-allows blood flow to the coronary arteries
-used short term in shock or heart failure
-dilates when heart is in diastole to pump blood to the coronary arteries, deflates when heart
in systole
, Swan Catheters- ANSWER catheter that goes into the RA to RV to PA, measures the pressures
in and around the heart
CVVH- ANSWER takes away blood at a constant rate at lower volumes, better for unstable BP
ECMO- ANSWER VV- assists lungs, returned venous
VA- assists heart and lungs, returned arterial
ECMO- oxygenizes blood within a circuit
ventilator settings- ANSWER TV- 6-8/kg
PEEP- increased if not oxygenating
Fi02- 30 to 100 %
PS- smaller the tube higher the PS, usually 5-10
Rate- 14-30 most common
MTP - ANSWER replaces patients total blood volume in less than 24 hours, or acute admin of
more than half patients blood volume/hour
- give PRBC, FFP/cryo, platelets usually 1:1:1 or 2:1:1
ICP - ANSWER normal 5-15
>20 treat
causes- tumor, brain injury, trauma, shunt malfunction, meningitis, high BP, surgery,stroke
treat- raise HOB, EVD, mannitol, hypertonic saline, low CO2
EVD - ANSWER keep level to tragus
