©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
CRNA Interview- Clinical Questions 1 And
Correct 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 different types of anesthesia - answer✔local- removes pain at a specific site, dental
procedure or mole removal
regional- epidural/spinal/nerve block, removes pain from a certain region like in a C- section
General- patient unconscious with breathing tube, feels and experiences nothing, will not
remember procedure- heart surgery, transplants
MAC- monitored anesthesia care, conscious sedation but patient is ready to be intubated and
have general anesthesia if needed- lumbar puncture, G button placement
Explain Intra Aortic Balloon Pump - 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
, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Explain Swan Catheters - answer✔catheter that goes into the RA to RV to PA, measures the
pressures in and around the heart
CVVH - answer✔removes blood at a continuous rate at lower volumes, better for unstable BP
ECMO - answer✔VV- supports lungs, returned venous
VA- supports heart and lungs, returned arterial
ECMO- oxygenates blood in 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
calculate minute ventilation - answer✔tidal volume X respiratory rate
calculate MAP - answer✔Systolic + 2x(Diastolic)/3
ventilator settings for an ARDS patient - answer✔low TV, increase PEEP, increase iTime
what are appropriate interventions for cardiogenic shock? - answer✔inotropes- dobutamine,
dopamine, levofed
fluids
