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This document outlines the order set for performing a thoracentesis, including pre-procedure, procedure, and post-procedure instructions, as well as laboratory tests and imaging requirements.
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How to fill out PROC Thoracentesis

01
Gather necessary equipment: sterile gloves, antiseptic solution, syringe, needle, and drainage catheter.
02
Position the patient comfortably, usually sitting upright.
03
Identify the appropriate site for thoracentesis by auscultation and percussion.
04
Prepare the skin by cleaning the site with antiseptic solution.
05
Administer local anesthesia to numb the area.
06
Insert the needle into the pleural space, while continuously aspirating the syringe to confirm the presence of fluid.
07
Once fluid is obtained, advance the catheter and secure it in place.
08
Drain the excess fluid, monitoring the patient for complications.
09
After the procedure, remove the catheter and apply a sterile dressing.

Who needs PROC Thoracentesis?

01
Patients with suspected pleural effusion indicated by symptoms like dyspnea, chest pain, or cough.
02
Individuals with certain lung conditions, malignancies, or infections leading to fluid accumulation in the pleural space.
03
Patients requiring diagnostic analysis of pleural fluid to identify infection, malignancy, or other underlying issues.
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The main reasons to perform a thoracentesis are to determine the cause of the pleural fluid and to relieve shortness of breath caused by the fluid.
In most cases, a thoracentesis will follow this process: You may be asked to remove your clothes. You may be given oxygen through a nasal tube or face mask. You may be in a sitting position in a hospital bed. The skin where the needle will be put in will be cleaned with an antiseptic solution.
Pneumothorax is the most common complication of thoracentesis. Operator expertise, the use of ultrasound, and recognition of patient-specific and procedural risk factors for pneumothorax can reduce this complication.
Be sure to insert the thoracentesis needle just above the upper edge of the rib and not below the rib, to avoid the intercostal blood vessels and nerves at the lower edge of each rib.
Thoracentesis is a procedure used to obtain a sample of fluid from the space around the lungs, called the pleural space. This fluid is called pleural fluid and normally exists only as a thin layer in the area between the lungs and chest wall.
A thoracentesis is usually done at a hospital and takes about 15 minutes. Your provider may ask you not to move or to hold your breath at different points during the procedure. You may feel pressure or discomfort while they take fluid out, but it shouldn't be painful.
Recovery time for thoracentesis is short. Your provider may tell you avoid strenuous activities for 48 hours. You can usually take off the bandage after 24 hours. Ask your provider how to manage any symptoms or side effects you have after the procedure, including pain, coughing or fluid leaking from the drainage site.
Thoracentesis is a minimally invasive procedure, which means it does not involve any major surgical cuts or incisions and is typically performed under local anesthesia.

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PROC Thoracentesis is a medical procedure used to remove fluid from the pleural space in the lungs, typically to diagnose or treat conditions such as pleural effusion.
Healthcare providers who perform the thoracentesis procedure are required to file PROC Thoracentesis documentation.
To fill out PROC Thoracentesis, the healthcare provider must complete the designated form with patient details, procedure specifics, and any relevant clinical information.
The purpose of PROC Thoracentesis is to relieve respiratory distress caused by excess fluid, to obtain fluid for diagnostic testing, or to treat specific conditions affecting the lungs.
The information that must be reported on PROC Thoracentesis includes patient demographics, reason for the procedure, volume of fluid removed, laboratory results, and any complications occurring during the procedure.
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