Sample interview questions: How do you ensure accurate assessment and monitoring of fluid balance during dialysis?
Sample answer:
- Obtain Pre-Dialysis Weight:
- Weigh the patient before the dialysis treatment begins.
- Record the weight accurately and consistently.
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Use a calibrated and standardized scale.
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Monitor Intra-Dialysis Weight Changes:
- Monitor the patient’s weight during the dialysis session.
- Note any significant changes in weight.
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Calculate the net fluid removal (NFR) by subtracting the post-dialysis weight from the pre-dialysis weight.
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Assess Fluid Status:
- Evaluate the patient’s fluid status based on physical examination findings.
- Look for signs and symptoms of fluid overload or dehydration.
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Assess skin turgor, mucous membranes, and peripheral edema.
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Observe Vital Signs:
- Monitor the patient’s vital signs, including blood pressure, heart rate, and respiratory rate.
- Note any abnormalities that may indicate fluid imbalance.
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Be vigilant for signs of hypotension or hypertension.
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Measure Urine Output:
- Monitor the patient’s urine output during and after dialysis.
- Record the volume and characteristics of the urine.
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Assess for oliguria or anuria, which may indicate fluid overload.
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Assess Laboratory Values:
- Monitor the patient’s laboratory values, including electrolytes, blood urea nitrogen (BUN), and creatinine.
- Evaluate the results for abnormalities that may sugges… Read full answer
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