Paracentesis
Paracentesis – needle aspiration of fluid from the peritoneal cavity used to relieve excess fluid accumulation or for diagnostic studies.
Specific nursing actions before paracentesis:
- Have patient void – to prevent possible injury to bladder during procedure
- Position – sitting up on side of bed, with feet supported by chair.
- Check vital signs and peripheral circulation frequently throughout procedure
- Observe for signs of hypovolemic shock – may occur due to fluid shift from vascular compartment following removal of protein – rich ascitic fluid.
Specific nursing actions following paracentesis:
- Apply pressure to injection site and cover with sterile dressing.
- Measure and record amount and color of ascitic fluid; send specimens to lab for diagnostic studies.
