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Abdominal Paracentesis note
Abdominal Paracentesis Procedure
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Before your procedure ( Abdominal Paracentesis Procedure )
- Vital signs: Caregivers will check your blood pressure, heart rate, breathing rate, and temperature. They will also ask about your pain. These vital signs give caregivers information about your current health.
- Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.
- Pre op care: You may be asked to urinate in order to empty your bladder. You are taken to the procedure room and moved to a table or bed. You will need to lie on your back or on your side.
- Local anesthesia: This medicine makes you more comfortable during your procedure. Local anesthesia is a shot of medicine put into your skin. Local anesthesia is used to numb the procedure area and dull your pain. You may still feel pressure or pushing during the procedure after you get this medicine.
During your procedure ( Abdominal Paracentesis Procedure )
- Your caregiver taps on and feels your abdomen to decide where to insert the needle. Your caregiver may also use an ultrasound to help decide where to insert the needle. An ultrasound uses sound waves to show pictures of the inside of your abdomen on a TV-like screen. Your caregiver cleans your skin and covers the area around the procedure site with a clean sheet. A needle will be inserted into your abdominal cavity. A syringe will be attached to the needle to remove a small amount of ascites fluid. The needle will be removed once your caregiver has removed enough fluid for testing.
- To remove a larger amount of fluid, a needle is inserted into your abdominal cavity. A catheter (small, thin tube) is attached to the needle and the needle is removed. The catheter tubing will be attached to a suction device (gentle vacuum) to help remove the fluid. The fluid will drain into a container attached to the tubing. Removing large amounts of fluid may take up to six hours. When your caregiver has pulled enough fluid from your abdomen, he will remove the catheter. Your wound (procedure site) will be covered with a bandage. The ascites fluid may be sent to a lab for tests.
After your procedure ( Abdominal Paracentesis Procedure )
You may need to lie on the side without the wound for up to two hours. Lying on your side may prevent fluid leakage from your wound. If the wound leaks and will not stop, your caregiver may stitch the area closed. Do not get out of bed until your caregiver says it is okay. When caregivers see that you are not having any problems, you may be able to go home. If you are staying in the hospital, you may be taken back to your room.
- Blood tests: You may need blood taken to give caregivers information about how your body is working. The blood may be taken from your hand, arm, or IV.
- Intravenous fluids and volume expanders: Abdominal Paracentesis Procedure, You may need fluids or volume expanders given through your IV after your procedure. These fluids include albumin or saline. Albumin is a protein found in your blood. The IV fluids help prevent a drop in your blood pressure.
