Sample interview questions: How do you handle patients with suspected or diagnosed gastrointestinal bleeding disorders?
Sample answer:
- Assess the Patient’s Condition:
- Obtain a detailed medical history, including medications, alcohol intake, and underlying medical conditions.
- Perform a physical examination, focusing on vital signs, abdominal palpation, and rectal examination.
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Order laboratory tests, including complete blood count, coagulation studies, and liver function tests.
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Manage Active Bleeding:
- Administer intravenous fluids and blood products as needed to correct hypovolemia and anemia.
- Start proton pump inhibitors (PPIs) to reduce gastric acid secretion.
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Consider endoscopic or surgical intervention to control bleeding if medical therapy fails.
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Treat Underlying Causes:
- Treat peptic ulcers with antibiotics (e.g., Helicobacter pylori) and PPIs.
- Manage inflammatory bowel disease with medications (e.g., aminosalicylates, biologics) and dietary modifications.
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Treat liver disease with medications (e.g., antiviral agents, diuretics) and lifestyle changes.
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Monitor and Prevent Complications:
- Monitor vital signs and hemoglobin levels regularly.
- Administer blood transfusions as needed to maintain adequate hemoglobin levels.
- Implement strict infection control meas… Read full answer
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