Show
What is thoracentesis?Thoracentesis (say "thor-uh-sen-TEE-sis") is a procedure to remove fluid from the space between the lungs and the chest wall. This is called the pleural space. The procedure may also be called a "chest tap." It is normal to have a small amount of fluid in the pleural space. Too much fluid can build up because of problems such as infection, heart failure, and lung cancer. The procedure may be done to help with shortness of breath and pain caused by the fluid buildup, or you may have it done so the doctor can test the fluid to find the cause of the buildup. Your doctor will put a long, thin needle or a thin plastic tube, called a catheter, between two of your ribs. The doctor will use the needle or catheter to take fluid out. You may get medicine before the procedure. This helps with pain and helps you relax. The procedure will take about 15 minutes. Most people go home shortly after. You can go back to work or your normal activities as soon as you feel up to it. If the doctor sends the fluid to a lab for testing, it usually takes a few hours to get the results. Some of the test results may take a few days. The doctor or nurse will discuss the results with you. Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take. How do you prepare for the procedure?Preparing for the procedure
Taking care of yourself before the procedureBuild healthy habits into your life. Changes are best made several weeks before the procedure, since your body may react to sudden changes in your habits.
If you have an advance care plan, let your doctor know. If you do not have one, you may want to prepare one so your doctor and loved ones know your health care wishes. Doctors recommend that everyone prepare these papers before a procedure, regardless of the type of procedure or condition. Procedures can be stressful. This information will help you understand what you can expect and it will help you safely prepare for your procedure. What happens on the day of the procedure?
At the hospital, surgery centre, or doctor's office
When should you call your doctor?
Where can you learn more?Go to https://www.healthwise.net/patientEd Enter U836 in the search box to learn more about "Thoracentesis: Before Your Procedure". Which action would the nurse perform when preparing a patient for thoracentesis?The correct answer to today's NCLEX-RN® Question is...
Rationale: During a thoracentesis a needle is inserted into the intercostal space, so the nurse should assist the client to sit at the edge of the bed while leaning forward with their arms supported on a bedside table and a pillow or folded towel.
How will you assist a patient during a thoracentesis procedure?Tell the patient that he must stay still during the procedure. Monitor him throughout the procedure. Observe for signs and symptoms of pneumothorax, such as dyspnea, tachycardia, or chest pain, and other complications. Apply a small sterile dressing over the puncture site after the needle or catheter is removed.
In what position should you place a patient in order to facilitate a thoracentesis procedure quizlet?The correct position for this procedure is: The correct position for a cooperative and mobile patient undergoing thoracentesis is sitting (backwards on a chair or in bed), leaning forward, with both arms elevated and supported (on the chair-back or on an over-the-bed table).
What is the best position for the nurse to place a client for a thoracentesis of the right lung?Positioning for Thoracentesis
Best done with the patient sitting upright and leaning slightly forward with arms supported. Recumbent or supine thoracentesis (eg, in a ventilated patient) is possible but best done using ultrasonography or CT to guide procedure.
|