How do you assess and manage potential complications related to patients with transcatheter aortic valve replacements (TAVRs)?

Sample interview questions: How do you assess and manage potential complications related to patients with transcatheter aortic valve replacements (TAVRs)?

Sample answer:

1. Assess for and Manage Bleeding Complications:

2. Monitor vital signs, including blood pressure, regularly.

3. Inspect the groin or access site for signs of bleeding or hematoma.
4. Apply firm pressure to the access site for at least 15 minutes to promote hemostasis.
5. Administer medications to prevent or control bleeding, such as antiplatelet agents, anticoagulants, or antifibrinolytics, as prescribed.

6. Transfuse blood products if indicated to maintain adequate hemoglobin levels.

7. Assess for and Manage Stroke or Neurologic Complications:

8. Monitor the patient’s neurologic status, including level of consciousness, speech, and motor function.

9. Perform a comprehensive neurologic assessment if any changes are noted.
10. Administer oxygen therapy and maintain adequate oxygenation to prevent cerebral hypoxia.

11. Collaborate with the neurology team for further evaluation and management if indicated.

12. Assess for and Manage Acute Kidney Injury (AKI):

13. Monitor urine output and serum creatinine levels regularly.

14. Assess for signs and symptoms of AKI, such as oliguria, anuria, or fluid overload.
15. Administer intravenous fluids and diuretics as prescribed to maintain fluid balance and promote diuresis.

16. Consult with the nephrology team for further evaluation and management if necessary.

17. Assess for and Manage Perivalvular Leak:

18. Monitor for signs and symptoms of perivalvular leak, such as dyspnea, orthopnea, or pulmonary edema.

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