How do you approach and manage patients requiring common nephrology procedures, such as renal biopsies or hemodialysis access placements?

Sample interview questions: How do you approach and manage patients requiring common nephrology procedures, such as renal biopsies or hemodialysis access placements?

Sample answer:

Approach and Management of Common Nephrology Procedures

Renal Biopsy

• Pre-Procedure:
  • Review patient history, physical exam, and laboratory findings to determine suitability for biopsy.
  • Obtain informed consent and provide education about the procedure, potential risks, and expectations.
  • Prescribe antibiotics for prophylaxis.
• Intra-Procedure:
  • Real-time ultrasound guidance is used to ensure accurate needle placement and minimize bleeding.
  • Administer local anesthesia at the biopsy site.
  • Obtain tissue samples using a specialized biopsy needle.
• Post-Procedure:
  • Monitor vital signs and observe for complications such as bleeding, infection, or pain.
  • Provide pain management as needed.
  • Restrict activity and instruct the patient to avoid strenuous exertion.
  • Schedule follow-up appointments to monitor wound healing and biopsy results.

Hemodialysis Access Placements

• Arteriovenous (AV) Fistula:
  • Pre-Procedure:
    • Assess vascular anatomy and determine the appropriate vessel for fistula creation.
    • Obtain informed consent and educate the patie… Read full answer

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