How do you handle patients who require emergency intra-abdominal pressure monitoring?

Sample interview questions: How do you handle patients who require emergency intra-abdominal pressure monitoring?

Sample answer:

1. Establish a Team and Assess the Situation:
2. Assemble a multidisciplinary team (e.g., ER physician, anesthesiologist, intensivist).

3. Rapidly assess the patient’s vital signs, mental status, and abdomen.

4. Prepare the Patient:

5. Explain the procedure to the patient and obtain informed consent.

6. Establish proper patient positioning, usually supine with a slight head elevation.

7. Insertion of Intra-abdominal Pressure Monitor:

8. The monitoring site is typically chosen below the umbilicus.
9. Perform aseptic skin preparation, including shaving and cleansing.
10. Apply a local anesthetic.
11. Insert the intra-abdominal pressure catheter under strict sterile conditions.

12. Secure the monitoring device and tubing to prevent accidental dislodgement.

13. Continuous Monitoring and Management:

14. Connect the intra-abdominal pressure monitor to the bedside monitor.
15. Initiate continuous monitoring of intra-abdominal pressure (IAP).
16. Set alarm limits based on the patient’s condition and protocol (e.g., 20-25 mmHg).

17. Document baseline IAP and serial measurements, monitoring for trends and abnormal changes.

18. Immediate Intervention if Elevated IAP:

19. If elevated IAP is detected, initiate immediate interventions to reduce the p… Read full answer

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