On-screen text
PART 2
How to present
your patient in a
CRNA interview
(from a CRNA)
Most ICU nurses
freeze on this one.
THE SETUP
2/8
1.
Start with a
brief background
• A short history — not a full handoff
• Why this patient stuck with you
• Skip the play-by-play
Set the stage in 2 sentences.
HEMODYNAMICS
3/8
2.
Lines, drips,
and numbers
• What lines did they have?
• What drips and doses were they on?
• What were the numbers telling you?
(a-line, Swan-Ganz, balloon pump, CVL)
YOUR THINKING
4/8
3.
What you were
titrating — and why
• The drip you were actively managing
• The parameter you were chasing
• The trade-off you were making
(e.g. accepting a MAP of 60 to avoid pushing afterload and crashing the RV)
This is where they see your brain.
VIGILANCE
5/8
4.
What you were
watching for
• The decompensation you were anticipating
• The number that would change everything
• The call you were ready to make
(e.g. CVP creeping up, SvO2 dropping below 60, PA pressures climbing)
MY PATIENT
6/8
5.
Pulmonary HTN +
cardiogenic
shock
• Swan-Ganz: elevated PA pressures, low CI
• On milrinone, norepi, balloon pump 1:1
• Titrating to keep PVR down and CI up
• Watching for RV failure
One patient. Four sentences. Done.
WHY IT MATTERS
7/8
6.
Why this matters
for anesthesia
That's why I know in the OR:
pulm HTN + untreated sleep apnea =
keep everything even-keeled.
Avoid hypoxia, hypercarbia, acidosis —
anything that spikes PVR and tanks the RV.
They say nursing doesn't prepare
you for anesthesia. A Swan and a
balloon pump at 3am say otherwise.
PART 3 IS COMING
The questions
they actually ask
— and how to
answer them
like a clinician.
Follow so you
don't miss it.