100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
CRNA Interview Questions and Answers 100% Solved $14.99   Add to cart

Exam (elaborations)

CRNA Interview Questions and Answers 100% Solved

 8 views  0 purchase
  • Course
  • CRNA Interview
  • Institution
  • CRNA Interview

CRNA Interview Questions and Answers 100% Solved What are the interventions for cardiogenic shock? ️️-Fluids -Vasopressors (Dopamine) -Inotropes (Dobutamine, Milrinone for heart failure) -IABP, ECMO Your ventilator is peak pressure alarming. What could be the problem? ️️-Normal plate...

[Show more]

Preview 4 out of 35  pages

  • April 2, 2024
  • 35
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • CRNA Interview
  • CRNA Interview
avatar-seller
UpperClass
CRNA Interview Questions and Answers 100% Solved What are the interventions for cardiogenic shock? ✔️✔️-Fluids -Vasopressors (Dopamine) -Inotropes (Dobutamine, Milrinone for heart failure) -IABP, ECMO Your ventilator is peak pressure alarming. What could be the problem? ✔️✔️-Normal plateau pressure - Kink in tubing, patient biting tube, mucous plug, bronchospasm, ETT too small -If high plateau pressure - there is an issue with lung compliance ie: developing PNA, pulmonary edema, auto PEEP, pneumothorax, right main stem, ARDS, ILD Your patient needs to be intubated soon. What items do you want at the bedside? ✔️✔️-suction -appropriate -sized bag and mask -oxygen source -appropriate size endotracheal tubes including a size larger and one size smaller -laryngoscope and appropriate -sized laryngoscope blades (including one size smaller and one size larger) -endotracheal tube -securing equipment (tape or other) -stylet -syringe -pillow, blanket roll -stethoscope -IVF, pressure bag -pressors depending on status -sedation -appropriate sized nasogastric tubes -x-ray on standby What are some reasons for post operative tachycardia? ✔️✔️Postoperative sinus tachycardia is often attributed to catecholamine release in response to surgical stress or anemia. -Pain -Hypovolemia -Anemia -Drug induced -Cardiac problem (MI, tamponade) -Pulmonary problem (Pneumothorax, PE) What is the difference between CRNA and MDA? ✔️✔️-Schooling: MDA is a licensed medical doctor with 12 years of schooling, CRNA requires 6 -7 years of schooling -In most states, nurse anesthetists cannot administer anesthesia without the supervision of a board certified doctor (19 states removed - Texas still requires) -Similar job roles & responsibilities -Rural areas more commonly have CRNAs, hospitals have both Do you understand "opt out"? ✔️✔️-The federal requirement has been that CRNAs must be supervised by a physician. The November 13, 2001 rule allows states to "opt -out" or be "exempted" from the federal supervision requirement. -For a state to "opt -out" of the federal supervision requirement, the state's governor must send a letter of attestation to CMS. The letter must attest that: 1. The state's governor has consulted with the state's boards of medicine and nursing about issues related to access to and the quality of anesthesia services in the state; and 2. That it is in the best interests of the state's citizens to opt -out of the current federal physician supervision requirement; and 3. That the opt -out is consistent with state law. Discuss the role of the sympathetic nervous system. ✔️✔️-Subdivision of the autonomic nervous system - "fight or flight" -Involved in preparing the body for stress -related activities, slows bodily processes that are less important in emergencies such as digestion -Patho: The amygdala will send a distress signal to the hypothalamus. Impulses are then transmitted through the SNS to the adrenal glands, which then pumps adrenaline into the blood stream. -Increase heart rate, Dilation of the pupil, Secretion of sweat glands, Increased alertness, Slowing down or stopping digestion, Relaxation of the bladder -There are two types of neurons within the sympathetic nervous system: the preganglionic neurons (originate in brain and spinal cord) and the postganglionic neurons (outside spinal cords), or ganglion cells. -Neurotransmitters involved: Acetylcholine, Epi, Norepi Discuss the role of the parasympathetic nervous system. ✔️✔️-Subdivision of the autonomic nervous system - "rest and digest" - keeps the basic functions of your body working as they should. -PSNS starts in your brain and extends out via long fibers that connect with special neurons near the organ they intend to act on -Constricts pupils, causes salivation, slows down the heart rate, tightens the bronchi in the lungs, enacts digestion, releases bile, makes the bladder contract Tell us about a critical patient you had and the pathophysiology behind their disease. ✔️✔️Urosepsis -> Septic Shock -> ARDS -> HFOV How does IABP work? ✔️✔️-The IABP consists of a thin, flexible tube called a catheter. Attached to the tip of the catheter is a long balloon. The other end of the catheter attaches to a computer console which has a mechanism for inflating and deflating the balloon at the proper time when your heart beats. -An IABP allows blood to flow more easily into your coronary arteries. It also helps your heart pump more blood with each contraction. -How it works: 1. Deflated in systole (heart contracts) so blood can be ejected with less resistance & also has a vacuum effect pulling blood forward 2. In diastole, balloon inflates & pushes blood back towards coronary arteries, improving perfusion -Indications: MI, CHF, defects, arrhythmia, myocarditis What coronary is affected in an anterior lateral MI? ✔️✔️**Left anterior descending coronary artery (LAD)** -Also known as anterior wall MI, or AWMI, or anterior ST segment elevation MI, or anterior STEMI -Occurs when anterior myocardial tissue usually supplied by the left anterior descending coronary artery suffers injury due to lack of blood supply. -Poorest prognosis How can you lower ICP? ✔️✔️-Elevate HOB -Hyperventilate - to cause vasoconstriction -Mannitol 0.25 -1g/kg (elevates blood plasma osmolality, resulting in enhanced flow of water from tissues into interstitial fluid and plasma)

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller UpperClass. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67163 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$14.99
  • (0)
  Add to cart