How do you handle patients who are in need of emergency dialysis?

Sample interview questions: How do you handle patients who are in need of emergency dialysis?

Sample answer:

1. Triage and Assessment:
2. Recognize signs and symptoms of acute renal failure, such as oliguria, anuria, fluid overload, electrolyte imbalance, and metabolic acidosis.
3. Prioritize treatment based on severity of condition and potential life-threatening complications.

4. Obtain a thorough medical history, including medications, allergies, and underlying medical conditions contributing to renal failure.

5. Initiate Dialysis Access:

6. Assess the patient’s vascular access for dialysis.
7. If an arteriovenous fistula or graft is present, evaluate its patency and ensure proper function.

8. If no permanent access is available, consider placing a temporary vascular access, such as a double-lumen central venous catheter, to initiate dialysis.

9. Administer Pre-Dialysis Medications:

10. Administer medications to manage fluid overload, electrolyte imbalances, and metabolic acidosis before dialysis.

11. These medications may include diuretics, sodium bicarbonate, calcium, and potassium.

12. Prepare Dialysis Equipment:

13. Set up the dialysis machine and dialyzer according to the patient’s prescription.

14. Prime the dialyzer with saline or bicarbonate solution to remove air and ensure proper flow.

15. Initiate Dialysis:

16. Connect the patient to the dialysis machine using the appropriate tubing and access.
17. Monitor the patient’s vital signs, including blood pressure, heart rate, and oxygen saturation, throughout the procedure.

18. Adjust dialysis settings as needed to achieve the desired t… Read full answer

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