How do you prepare a patient for paracentesis?

How do you prepare a patient for paracentesis?

1. Preparation Instructions: Paracentesis.
2. Seven (7) days before your procedure. STOP: (Unless otherwise instructed by your physician)
3. Take:
4. The day before your procedure.
5. STOP: (In addition to above) ➢ No food or drink after midnight.
6. Can Have: ➢ Food and drink up until midnight.
7. Day of your procedure: NO FOOD OR DRINK!

What should a nurse do before paracentesis?

Before your procedure:

• Vital signs: Caregivers will check your blood pressure, heart rate, breathing rate, and temperature.
• Caregivers may insert an intravenous tube (IV) into your vein.
• Pre-op care: You may be asked to urinate in order to empty your bladder.

What is the nurse’s role during a paracentesis?

The role of the nurse is usually to monitor the patient throughout the procedure, administer treatment as directed by the medical team and, depending on local policy, remove the drain at the end of the procedure.

What should you do before paracentesis?

Before your procedure: Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine. Tell your caregiver if you know or think you might be pregnant.

How is a paracentesis done?

Paracentesis [par-uh-sen-TEE-sis], also known as an abdominal tap, is a procedure in which fluid is removed from the abdominal cavity to relieve abdominal pain and/or diagnose other conditions. A needle is inserted into the abdomen and fluid is taken out with a syringe.

What position should you prepare the patient in pre op for abdominal paracentesis?

The patient is placed in the supine position and slightly rotated to the side of the procedure to further minimize the risk of perforation during paracentesis. Because the cecum is relatively fixed on the right side, the left-lateral approach is most commonly used.

What do you monitor during paracentesis?

Monitor your patient’s vital signs, including temperature, every 15 minutes for 1 to 2 hours after the procedure, or as directed. Measure his abdominal girth for comparison with the baseline measurement. Document the volume, color, and consistency of the fluid.

Who performs a paracentesis procedure?

The gastroenterologist will first numb the area of the belly where the needle will be inserted. The paracentesis needle is inserted, usually guided by ultrasound imaging.

What is the position for paracentesis?

What should I do during an abdominal paracentesis procedure?

Needle should be inserted z-track technique, Monitor patient during procedure, Observe for fluid color, Measure fluid quantity, Send test tube for diagnostic tests, After finishing the procedure, seal the punctured wound with sterile dressing, Fasten the abdominal binder tightly, from the top to bottom, Provide any hot tea if indicated,

What kind of needle do you use for paracentesis?

For diagnostic paracentesis use a 20-22 gauge needle attached to a 20-30cc syringe to aspirate peritoneal fluid. Remember to apply minimal continuous negative pressure (too much pressure has been shown to draw bowel or omentum to the needle) or use intermittent but frequent pressure to ensure you do not withdraw blood and obtain peritoneal fluid.

Are there any contraindications to paracentesis in patients?

Contraindications to Paracentesis Mild hematologic abnormalities do not increase the risk of bleeding. Bleeding may be increased if: Prothrombin time (PTT) > 21 seconds International normalized ratio (INR) > 1.6 Platelet count < 50,000 per cubic millimeter Absolute contraindication: acute abdomen requiring surgery, i.e.) bowel perforation

What kind of blood thinners are used for paracentesis?

Preparation Instructions: Paracentesis Blood thinners such as Plavix, Warfarin (Coumadin), Heparin, Lovenox, Aggrenox or Pletal, please consult your physician about stopping these medications before the procedure. Recent blood work may be necessary before your procedure date You MUST have someone with you to drive you home.

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