Sample interview questions: How do you assess and manage potential complications related to patients with coronary artery bypass grafts (CABGs)?
Sample answer:
Assessment
- Hemodynamic status: Monitor vital signs, cardiac output, and oxygen saturation to assess for signs of low cardiac output, arrhythmias, or shock.
- Wound assessment: Inspect surgical incisions and dressings for signs of infection, bleeding, or dehiscence.
- Neurological assessment: Assess for altered mental status, speech impairments, or seizures to detect potential neurological complications.
- Pulmonary assessment: Monitor respiratory rate, oxygen saturation, and arterial blood gases to identify pulmonary complications such as atelectasis or pneumonia.
- Renal function: Monitor urine output and creatinine levels to assess kidney function and the potential for renal failure.
- Gastrointestinal system: Assess for nausea, vomiting, or abdominal pain to rule out potential complications such as gastroparesis or mesenteric ischemia.
Management
- Hemodynamic management: Administer vasopressors or inotropes as needed to maintain cardiac output and blood pressure. Ensure adequate fluid resuscitation and monitor for signs of fluid overload.
- Wound care: Perform daily dressing ch… Read full answer
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