Sample interview questions: How do you ensure proper monitoring and management of patients’ calcium and phosphate levels during dialysis treatments?
Sample answer:
- Regularly monitor calcium and phosphate levels: Check serum calcium and phosphate levels as per the established schedule, typically monthly or more frequently if indicated.
- Titrate dialysate calcium concentration: Adjust the calcium concentration in the dialysate based on the patient’s serum calcium levels and clinical presentation.
- Administer calcium supplements: Prescribe oral or intravenous calcium supplements to maintain appropriate serum calcium levels, especially in patients with hypocalcemia.
- Monitor phosphate binders: Prescribe and monitor the effectiveness of phosphate binders, such as sevelamer or lanthanum, to control phosphate levels and prevent hyperphosphatemia.
- Ensure adequate vitamin D levels: Evaluate vitamin D status and prescribe supplements as needed to maintain optimal levels, which support calcium absorption and bone health.
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