Thoracentesis Indications Nursing Care Procedure and Complications

Thoracentesis Indications Nursing Care Procedure and Complications

Nursing Care Thoracentesis is puncturing of the chest wall to withdraw fluid from the pleural cavity,

all information about Thoracentesis  indications Complications, Procedure, Site of the Thoracentesis mentioned Below,

PLEURAL  TAP
Thoracentesis to remove the excess air or fluid to Ease breathing,

Thoracentesis Procedure Nursing Responsibilities

Indications:-

To relieve pain, dyspnoea, and symptoms of pressure,
Emphysema,
Malignant pleural effusion,
For diagnosis e.g.: Bacteriological and cellular composition, T.B,
To instill the medication,
Contraindications:-
Patients with coagulation and bleeding disorder
Patients with heart failure
Patients on medications e.g: blood thinners
Equipment:-
Syringes 2cc with a needle,
Inj.Xylocaine 1%,
Syringe 20cc, syringe 50cc,
Three-way adaptor with tubing,
Two large-bore aspiration needles No.15 and 18,
Test tubes (sterile) for collecting fluid
Collecting jar,
Measuring jug,
Sterile dressing set for applying bandage,
Sponge holding forceps 1,
Dissecting forceps,

Thoracentesis Procedure Complications:

Hemothorax,
Pneumothorax,
Pulmonary edema,
Air embolism,
Site of Thoracentesis:-

The common site for pleural aspiration is just below the inferior angle of the scapula

 Position of the patient:-

 

General instructions:
Check for the doctor’s order,
Identify the client with Name and diagnosis etc…
Explain the importance of the procedure.
The patient should be prepared psychologically and physically for the procedure,
Ask them to patient sign in a consent form that permits you to do the Thoracentesis procedure,
Inform the patient do not to cough while the needle is inserted to avoid puncturing the lung tissues to prevent further injury,
Check for The patient may have a diagnostic report, such as
Serum electrolytes,
Clotting time,
Bleeding time,
Chest x-ray,
Chest fluoroscopy,
Ultrasound, or CT scan,
Asked the patient to remove any clothing, necklaces, or other objects that may interfere with the procedure,
The puncture site may be shaved,
The area around clean with soap and disinfected solutions,
Check the vitals BP TPR,

Thoracentesis Procedure

Maintain the desired position  during the procedure,

Maintain privacy to the patient with drapes and screen,
The patient x-ray should be fixed on an x-ray viewer for reference to the patient condition and site,
Check the Vital signs (Pulse rate, Blood pressure, respiration rate, and Oxygen saturation) are
to be monitored during the procedure.
The patient skin at the puncture site will be cleansed with a Betadine or antiseptic solution,
Give supplemental oxygen to the patient,
Make the intravenous line if any urgency to give medications,
Check for the color of the fluid,
If diagnostic purpose remove less than 100 ml of fluid from the pleural cavity

For video tutorial Thoracentesis Click Here

Note:-
Don’t remove more than 1000 ml of fluid from the pleural cavity,

Thoracentesis Procedure Nursing management:-

Place a sterile dressing over the puncture site,
Send the specimen to the laboratory for tests,
Chart the amount of fluid, color, and time,
Watch patient vitals carefully,
Aftercare of the patient:
Make the patient comfortable Position,
Provide rest and sleep,
Observe physiological changes in the patient’s
Respiratory rate,
Heart rate,
Cough,
Sputum,
Respiratory depth,
Breath sounds,
Complaints of chest pain,
Chart and Document all relevant data, information of the procedure,

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