Sample interview questions: How do you assess and manage potential complications related to patients with implanted cardiac assist devices (CADs)?
Sample answer:
Assessment of Potential Complications:
- Infection: Evaluate for signs and symptoms of infection (pyrexia, chills, leukocytosis). Inspect surgical site and assess changes in drainage.
- Thromboembolism: Monitor for decreased perfusion, tenderness, or swelling in extremities. Assess for signs of atrial or ventricular clots.
- Bleeding: Monitor vital signs for hypotension, tachycardia, and signs of internal bleeding (e.g., hematoma, petechiae).
- Fluid overload: Assess for weight gain, edema, and signs of congestive heart failure (e.g., dyspnea, crackles).
- Pulmonary hypertension: Monitor arterial blood gases (ABGs) for elevated pulmonary artery pressures, echocardiography for signs of right heart strain.
- Device malfunction: Assess for audible alarms or changes in patient’s hemodynamics (e.g., sudden hypotension, arrhythmias).
- Psychosocial complications: Assess for anxiety, depression, and post-traumatic stress disorder (PTSD).
Management of Potential Complications:
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