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STANDARDIZED PROCEDURE
PERITONEAL PARACENTESIS (Adult, Beds)
These procedures are intended to describe procedures performed by Nurse Practitioners and/or
Certified Nurse Midwives (depending on the
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01
Gather all the necessary supplies: sterile gloves, antiseptic solution, local anesthetic, syringes, needles, catheters, drainage bags, and dressing materials.
02
Explain the procedure to the patient and obtain informed consent.
03
Ensure proper positioning of the patient by placing them in a supine or semi-reclining position.
04
Cleanse the area around the insertion site with antiseptic solution and drape a sterile sheet to maintain the sterile field.
05
Administer local anesthesia to the insertion site to minimize pain and discomfort.
06
Using aseptic technique, insert the catheter into the peritoneal cavity under ultrasound guidance or by using anatomical landmarks.
07
Aspirate fluid using a syringe and needle or connect the catheter to a drainage bag for continuous drainage.
08
Monitor fluid output and patient's vital signs during the procedure.
09
Once an adequate amount of fluid has been drained or as per medical necessity, remove the catheter and apply a sterile dressing to the insertion site.
10
Dispose of all used supplies properly and document the procedure in the patient's medical record.
Who needs peritoneal paracentesis adult peds?
01
Peritoneal paracentesis may be needed for adult and pediatric patients who have excessive fluid accumulation in their peritoneal cavity.
02
It is commonly performed in cases of ascites, which can be caused by liver cirrhosis, congestive heart failure, malignancy, or other conditions that result in fluid retention.
03
The procedure may also be indicated for diagnostic purposes or to relieve symptoms such as abdominal pain or discomfort caused by the fluid buildup.
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