Have you ever had to deal with a telemetry patient who required emergency intervention for acute heart failure or pulmonary edema? If so, how did you handle it?

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Sample interview questions: Have you ever had to deal with a telemetry patient who required emergency intervention for acute heart failure or pulmonary edema? If so, how did you handle it?

Sample answer:

Yes, as a telemetry nurse, I have encountered patients who required emergency intervention for acute heart failure or pulmonary edema. In such situations, prompt and efficient action is crucial to stabilize the patient and prevent further deterioration.

First and foremost, I would assess the patient’s condition by closely monitoring vital signs, oxygen saturation levels, and telemetry readings. I would also gather pertinent information, such as the patient’s medical history, current medications, and any recent changes in their condition.

If a patient is experiencing acute heart failure or pulmonary edema, I would immediately initiate appropriate interventions. This may include administering supplemental oxygen to improve oxygenation and alleviate respiratory distress. Depending on the severity of the situation, I may consider non-invasive positive pressure ventilation (NIPPV) or even endotracheal intubation and mechanical ventilation if necessary.

To optimize cardiac function and reduce fluid overload, I would closely monitor the patient’s fluid status. This may involve administering diuretics, such as furosemide, to promote diuresis and relieve pulmonary congestion. I would also evaluate the patient’s response to diuretics by monitoring urine output and daily weights.

In addition to managing fluid balance, I would administer medications to improve cardiac contractility and reduce afterload. Medications commonly used in these situations inc… Read full answer

Source: https://hireabo.com/job/2_0_24/Telemetry%20Nurse

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