2011年3月23日星期三

An invasive method which target will be to extract fluid accumulation within peritoneum

OBJECTIVES:
1. To withdraw fluid for diagnostic  nursing ;examination.
2. To eradicate ascitic fluid when huge accumulation of fluid provides about serious indications and symptoms and is also resistant to other therapy.
3. To get ready for other process (peritoneal dialysis, ascitic fluid reinfusion, surgery, etc.)
4. To recognize presence of our blood while in the abdomen subsequent trauma.

INDICATION: Presence of fluid while in the abdominal cavity.

CONTRAINDICATION: The affected individual with bleeding disorders, pregnant women.

CHARTING:
a. Document date, time, essential signs, place of puncture site, presence of any sutures.
b. Document the amount, color and viscosity and odor of aspirated fluid, measurement of abdominal girth, and patient’s surplus fat preceding to and perfect after procedure.

NURSING ALERT:
a. Aspiration of much over 1,500 ml of peritoneal fluid at just one time could possibly induce hypovolemic shock. check essential indications every 15 mins for one hour, every 30 mintues for two hours, every hour for 4 hours, and every 4 several hours for 24 several Abdominal nursing hours to detect delayed reactions.
b. brand specimen as they are collected as #1, #2, #3, #4, etc. be aware on laboratory slip once the affected individual is on antibiotic therapy.

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