Paracentesis

Indications

A needle is used to remove ascites fluid from the peritoneum that accumulates due to liver cirrhosis.

Most paracentesis performed in radiology department.
NPO after midnight
Take weight before and after fluid removal
Measure abdominal girth
Must empty bladder prior to paracentesis to prevent bladder puncture.
Supine position and slightly rotated toward the side of the procedure.
Post-procedure assess for s/s of hypovolemia such as hypotension, tachycardia, pallor, and dizziness.
Label fluid and send to the lab asap.
Post procedure monitor for: fever, bleeding from puncture site, changes in bowel sounds, hematuria, and severe abdominal pain.