Sample interview questions: Can you explain your knowledge and experience in managing patients with acute myocardial infarction (heart attack) in critical care?
Sample answer:
Management of Acute Myocardial Infarction (Heart Attack) in Critical Care
-
Comprehensive Assessment:
- Obtain detailed medical history and perform a thorough physical examination.
- Assess vital signs, including blood pressure, heart rate, and oxygen saturation.
- Electrocardiogram (ECG) to identify ST-segment elevations or other ischemic changes.
- Laboratory testing to evaluate cardiac markers (e.g., troponin), electrolytes, and coagulation parameters.
-
Rapid Treatment Initiation:
- Administer aspirin, clopidogrel, and heparin to prevent further platelet aggregation and thrombus formation.
- Provide oxygen therapy to maintain adequate oxygenation.
- Administer nitrates to reduce myocardial workload and pain.
- Initiate intravenous nitroglycerin infusion to control hypertension and improve perfusion.
-
Early Reperfusion Therapy:
- Perform emergent percutaneous coronary intervention (PCI) with stent placement to restore coronary artery flow.
- Consider fibrinolytic therapy (e.g., alteplase) if PCI is not immediately available.
-
Hemodynamic Monitoring and Support:
- Monitor hemodynamic parameters (e.g., blood pressure, cardiac output) using arterial line and pulmonary artery catheter.
- Administer vasopressors or inotropes to stabilize hemodynamics as needed.
- Perform intra-aortic balloon pump (IABP) or mechanical ventilation for severe hemodynamic compromise.
Read full answer
Source: https://hireabo.com/job/2_0_14/Critical%20Care%20Nurse