Sample interview questions: Can you discuss your experience in recognizing and managing diabetic emergencies in critically ill patients?
Sample answer:
As a Critical Care Nurse, I have extensive experience in recognizing and managing diabetic emergencies in critically ill patients. Diabetic emergencies can occur due to both hypo- and hyperglycemia, requiring prompt assessment and intervention.
In my role, I have encountered various diabetic emergencies such as diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS). These conditions often present with altered mental status, dehydration, electrolyte imbalances, and metabolic acidosis. Recognizing the signs and symptoms is crucial in providing appropriate and timely care.
To manage these emergencies, I begin by assessing the patient’s blood glucose levels and performing a comprehensive physical examination. Stabilizing the patient’s blood sugar is a priority, and this can be achieved by administering intravenous fluids and insulin therapy. Close monitoring of blood glucose levels with frequent laboratory tests is essential to ensure effective management.
In cases of DKA, I focus on correcting the underlying acidosis by administering intravenous fluids with electrolyte replacement. Close monitoring of potassium levels is necessary as insulin administration can cause potassium to shift intracellularly. In addition to managing the metabolic derangements, I collaborate with the healthcare team to identify and treat the underlying cause of DKA, such as infection or non-comp… Read full answer
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