Sample interview questions: How do you handle patients who require modifications to their dialysis treatment plan due to hematologic malignancies?
Sample answer:
Handling Patients with Hematologic Malignancies Requiring Dialysis Treatment Modification
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Assess Hematologic Status: Regularly monitor complete blood counts, coagulation studies, and bone marrow biopsies to determine the severity and progression of the malignancy.
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Modify Dialysis Prescription: Adjust the dialysis prescription to accommodate the altered hematologic parameters. This may include reducing dialysis intensity, extending treatment times, or using alternate dialyzers with increased biocompatibility.
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Manage Anemia: Administer erythropoietin stimulating agents (ESAs) or red blood cell transfusions to treat anemia and mitigate the risk of bleeding complications.
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Prevent and Treat Bleeding: Implement prophylactic measures such as platelet transfusions, antifibrinolytic medications, and close monitoring for signs of bleeding. Provide meticulous patient care to avoid trauma and potential bleeding episodes.
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Monitor Heparin Sensitivity: Assess for heparin sensitivity, which can be exacerbated in patients with hematologic malignancies. Consider using alternative anticoagulants, such as citrate or low-molecular-weight heparin.
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Address Thrombocytopenia: Intervene prom… Read full answer
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