Sample interview questions: Can you explain your knowledge of the principles of fluid assessment and volume control during dialysis?
Sample answer:
Understanding the principles of fluid assessment and volume control during dialysis is critical in providing safe and effective care to patients with end-stage renal disease (ESRD). Here’s a detailed explanation of these principles:
- Assessment of Fluid Status:
- Clinical Assessment:
- Monitor for signs and symptoms of fluid overload (e.g., edema, shortness of breath, hypertension) and dehydration (e.g., dry mucous membranes, decreased urine output).
- Assess daily weight and vital signs to monitor fluid balance.
-
Laboratory Assessment:
- Serum electrolytes (sodium, potassium, bicarbonate) and BUN/creatinine levels can provide insights into fluid and electrolyte balance.
- Hemoglobin and hematocrit levels help assess blood volume status.
-
Principles of Volume Control During Dialysis:
- Ultrafiltration:
- During hemodialysis, excess fluid is removed from the blood through ultrafiltration, which utilizes a semipermeable membrane to separate fluid from solutes.
- The rate of ultrafiltration is carefully controlled to prevent rapid fluid shifts and complications like hypotension.
-
Sodium and Potassium Management:
- Sodium and potassium levels are closely monitored during dialysis to ensure proper fluid balance and prevent electrolyte imbalances.
- Dialysate sodi… Read full answer
Source: https://hireabo.com/job/2_0_27/Renal/Dialysis%20Nurse