Sample interview questions: How do you approach wound care in patients with compromised renal function requiring renal replacement therapies, such as kidney transplantation or continuous renal replacement therapy?
Sample answer:
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Comprehensive Assessment:
- Thoroughly evaluate the patient’s overall health status, including medical history, current medications, nutritional status, and laboratory values.
- Assess the wound characteristics, including size, depth, location, and presence of infection.
- Collaborate with the interdisciplinary team to address underlying medical conditions that may contribute to impaired wound healing.
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Optimizing Renal Function:
- Work closely with the nephrology team to ensure adequate renal replacement therapy.
- Monitor fluid status and electrolyte balance to prevent complications.
- Address any nutritional deficiencies that may hinder wound healing.
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Wound Management:
- Cleanse the wound gently with appropriate solutions, avoiding harsh chemicals or excessive irrigation.
- Utilize dressings that promote a moist wound environment and manage exudate effectively.
- Consider advanced wound care modalities, such as negative pressure wound therapy or bioengineered skin substitutes, if indicated.
- Monitor the wound closely for signs of infection or delayed healing.
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