Sample interview questions: How do you assess and manage potential complications related to patients with implanted total artificial hearts (TAHs)?
Sample answer:
Assessing Potential Complications Related to TAH Patients:
- Infection:
- Monitor for signs of infection, including fever, chills, leukocytosis, and elevated inflammatory markers.
- Check the TAH driveline exit site and other potential entry points for infection.
- Obtain blood and wound cultures if infection is suspected.
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Administer antibiotics as prescribed.
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Bleeding:
- Assess for signs of bleeding, such as ecchymosis, hematoma, or active bleeding.
- Monitor vital signs and hemoglobin levels.
- Administer blood products or fluids as needed.
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Apply pressure dressings to bleeding sites.
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Thromboembolism:
- Assess for signs of thromboembolism, such as chest pain, shortness of breath, or neurological changes.
- Monitor coagulation studies and D-dimer levels.
- Administer anticoagulants as prescribed.
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Implement mechanical thromboprophylaxis, such as intermittent pneumatic compression devices or sequential compression stockings.
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Neurological Complications:
- Monitor for signs of neurological complications, such as confusion, disorientation, or seizures.
- Assess mental status and cognitive function regularly.
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Collaborate with a neurologist as needed.
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Mechanical Failure:
- Monitor the TAH for proper functioning, including pump output, flow rate, and alarm signals.
- Assess for signs of mechanical failure, such as chest pain, shortness of breath, or changes in vital signs.
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Collaborate with a cardiac surgeon or TAH specialist as needed.
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Psychosocial Issues:
- Assess for signs of anxiety, depression, or post-traumatic stress disorder (PTSD).
- Provide emotional support and counseling as needed.
- Refer to mental health professionals if necessary.
Management of Potential Complications:
- Infection:
- Administer broad-spectrum antibiotics and moni… Read full answer
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