University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2022
Views:

19

Pages:

1
Author:

kundgetanufv

ACTIVE LEARNING TEMPLATE: Therapeutic Procedure STUDENT NAME _____________________________________ Paracentesis PROCEDURE NAME ____________________________________________________________________ REVIEW MODULE CHAPTER ___________ Description of Procedure Paracentesis is a procedure in which a needle or catheter is inserted into the peritoneal cavity to obtain ascitic fluid for diagnostic or therapeutic purposes. Ascitic fluid may be used to help determine the etiology of ascites, as well as to evaluate for infection or presence of cancer Indications New-onset ascites - Fluid evaluation helps to determine etiology, differentiate transudate versus exudate, detect the presence of cancerous cells, or address other considerations. Suspected spontaneous or secondary bacterial peritonitis. Refractory ascites. Outcomes/Evaluation Relief of abd ascites pressure Patients undergoing early paracentesis showed a trend towards reduction in mortality compared with those undergoing late paracentesis. Potential Complications Hypovolemia - Bladder perforation - Periotonitis ACTIVE LEARNING TEMPLATES CONSIDERATIONS Nursing Interventions (pre, intra, post) Pre-procedure Explain procedure, obtain consent form Obtain vital signs, weight Assist patient to void, to reduce risk of injury to bladder Measure abdominal girth and elevate head of bed Intra-procedure Position pt supine with head of bed elevated Assist pt with relaxation technique Applu dressing over puncture site Post-procedure Monitor vital signs espaecially BP, pulse (risk hypovolemia) Maintain bed rest Measure fluid and document amount and color Send specimen to the Labs Access puncture site dressing for drainage Weight the pt Client Education - Avoid alcohol - Maintain a low sodium diet - Monitor puncture site for bleeding or leakage of fluid - Report changes in mental status due to change in electrolyte balance - Change positions slowly to decrease risk of falls due to hypovolemia Nursing Interventions Maintain pressure at insertion site for several minutes and apply a bandage - Check vital signs, record weight, and measure abdominal girth - Continue to monitor site and vitals - Monitor temp every 4 hours for 48 hours - Assess I&O every 4 hours - Administer medications as prescribed - Administer IV fluids or albumin as prescribed - Assist patient into a comfortable position with HOB elevated to promote lung expansion - Document color, odor, consistency, and amount of fluid removed, location of insertion site, evidence of leakage, manifestation of hypovolemia, or changes in mental status - Continue monitoring labs