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Ateneo de Zamboanga University: Illustration / Diagram

Thoracentesis is a procedure to remove fluid from the space between the lining of the outside of the lungs (pleura) and the wall of the chest. It can be performed for diagnostic or treatment purposes. Materials needed include an I&D kit, syringes, needles of various gauges, and contrast. The procedure involves finding the anatomical landmarks, cleaning the area, preparing equipment and needles, administering local anesthesia, inserting the catheter needle into the pleural space and aspirating fluid into vacutum bottles for analysis. Nurses are responsible for explaining the procedure, positioning and monitoring the client, collecting samples, and documenting outcomes.

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Noelle Harrison
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33 views2 pages

Ateneo de Zamboanga University: Illustration / Diagram

Thoracentesis is a procedure to remove fluid from the space between the lining of the outside of the lungs (pleura) and the wall of the chest. It can be performed for diagnostic or treatment purposes. Materials needed include an I&D kit, syringes, needles of various gauges, and contrast. The procedure involves finding the anatomical landmarks, cleaning the area, preparing equipment and needles, administering local anesthesia, inserting the catheter needle into the pleural space and aspirating fluid into vacutum bottles for analysis. Nurses are responsible for explaining the procedure, positioning and monitoring the client, collecting samples, and documenting outcomes.

Uploaded by

Noelle Harrison
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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Ateneo de Zamboanga University

College of Nursing NURSING SKILLS OUTPUT (NSO) Report No. 9 THORAC NT SIS !es"ription# T$or%"entesis is % pro"e&ure to re'o(e flui& fro' t$e sp%"e )et*een t$e lining of t$e outsi&e of t$e lungs (pleur%) %n& t$e *%ll of t$e "$est. T$or%"entesis "%n )e perfor'e& %s % &i%gnosti" or tre%t'ent pro"e&ure. +or &i%gnosis, onl- % s'%ll %'ount of flui& is re'o(e& for %n%l-sis. +or tre%t'ent, l%rger %'ounts of %ir or flui& %re re'o(e& to relie(e s-'pto's. T$or%"entesis s$oul& ne(er )e perfor'e& )- inserting t$e nee&le t$roug$ %n %re% *it$ %n infe"tion. An %ltern%ti(e site nee&s to )e foun& in t$ese "%ses. .efore un&ergoing t$is pro"e&ure, % p%tient 'ust '%/e t$eir &o"tor %*%re of %n- %llergies, )lee&ing pro)le's or use of %nti"o%gul%nts, pregn%n"-, or possi)ilit- of pregn%n"-. 0%teri%ls1 2uip'ents Nee&e&# I3+ set 0%teri%l Contr%st S-ringe 45165 "" Nee&le g%uge 78179

Pro"e&ures# 1. Get t$e st%n&%r& t$or%"entesis /it. In %&&ition to t$e /it, -ou *ill nee& t*o 79liter (%"uu' )ottles %n& .et$%&ine for "le%ning t$e %re%. Prep%re t$e ne"ess%r- e2uip'ent for t$e pleur%l t%p. 2. +in& t$e %n%to'i"%l l%n&'%r/s )efore -ou perfor' t$e t$or%"entesis. Cle%n t$e %re *it$ Io&ine. 3. Open t$e /it %n& '%/e sure t$%t -ou /no* *$i"$ tu)e %n& nee&le is use& for. 4. Prep%re for lo"%l %nest$esi%. 5. Prep%re t$e %re% 6. Prep%re t$e fle:i)le "%t$eter. 7. P%ss t$e fle:i)le "%t$eter o(er t$e t%p nee&le into t$e pleur%l sp%"e %n& )egin %spir%ting t$e flui& in t$e (%"uu' tu)es. 8. Co'plete t$e pro"e&ure, "$e"/ for "o'pli"%tions 9 '%inl- pneu'ot$or%: %n& )lee&ing. 9. Sen& t$e pleur%l flui& in t$e 7 L )ottle to t$e l%)or%tor-. 10. Co'p%re t$e pleur%l flui& to t$e "orrespon&ing )loo& tests, in or&er to &ifferenti%te )et*een tr%nsu&%te %n& e:u&%te. 77. If t$e p%tient $%& )loo& &r%*s t$is 'orning, -ou "%n or&er so'e %&&ition%l en;-'es %s AOT (%&&9on tests), if not %lre%&- &one )efore t$e t%p. Illustration / Diagram

July 25-27, 2011 Date

Ma Christina B. Celdran-Oraa, RN MAN Clinical instruct r!s initials Ad"in#, Meri-Cairylle Arra R.
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NURSING RESPONSIBILITIES Before Procedure %. :pl%in t$e pro"e&ure to t$e "lient ). Help position t$e "lient %n& "o(er t$e "lient %s nee&e& *it$ % )l%n/et. During Procedure a. Support t$e "lient (er)%ll- %n& &es"ri)e t$e steps of t$e pro"e&ure %s nee&e&. b. O)ser(e t$e "lient for signs of &istress su"$ %s &-spne%, p%llor %n& "oug$ing . Colle"t &r%in%ge %n& l%)or%tor- spe"i'en d. Pl%"e % s'%ll, sterile &ress %t t$e site of t$e pun"ture After Procedure %. Assess t$e pulse r%te, respir%tor- r%te %n& s/in "olor ). !o not re'o(e 'ore t$%n 7,555'l of flui& fro' t$e pleur%l "%(it- *it$in 65 'inutes ". O)ser(e "$%nges in t$e "lient<s "oug$, sputu', respir%tor- &ept$ %n& )re%t$ %n& note "o'pl%ints of "$estp%in. &. Position t$e "lient %ppropri%tel-. e. !o"u'ent %ll rele(%nt infor'%tion. References: $ttp#11note6.)logspot."o'1455=1541t$or%"entesis9pro"e&ure9gui&e.$t'l $ttp#11***.nl'.ni$.go(1'e&lineplus1en"-1%rti"le1556=45.$t'

July 25-27, 2011 Date

Ma Christina B. Celdran-Oraa, RN MAN Clinical instruct r!s initials Ad"in#, Meri-Cairylle Arra R.
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