Sample interview questions: How do you handle patients who require modifications to their dialysis treatment plan due to metabolic disorders or abnormalities in acid-base balance?
Sample answer:
Handling Patients with Dialysis Modifications Due to Metabolic Disorders/Acid-Base Abnormalities
Assessment:
- Obtain a thorough medical history, including the underlying metabolic disorder or acid-base abnormality.
- Review laboratory results, including electrolyte levels, blood gases, and metabolic panels.
- Assess the patient’s symptoms, such as nausea, vomiting, fatigue, or changes in sensorium.
Planning:
- Consult with the nephrologist to determine necessary modifications to the dialysis prescription.
- Adjust the dialysis duration, frequency, or blood flow rate based on laboratory values and patient tolerance.
- Consider the use of special dialysis solutions, such as bicarbonate or acetate buffers, to correct acid-base imbalances.
- Monitor the patient’s response to changes in the dialysis plan closely.
Implementation:
- Implement the prescribed dialysis modifications as ordered.
- Use continuous monitoring devices to track the patient’s hemodynamic status, blood pressure, and respiratory rate.
- Administer medications, such as sodium bicarbonate or potassium chloride, as prescribed to correct electrolyte imbalances.
Evaluation:
- Regularly reassess the patient’s labor… Read full answer
Source: https://hireabo.com/job/2_0_27/Renal/Dialysis%20Nurse