About
Procedure to remove accumulated fluid in the peritoneal cavity as a result of liver disease and ascites.
Assess
Blood Pressure, vital signs, intake and output, daily weights, respiratory status including difficulty in breathing, pain
Complications
Severe hypotension, encephalopathy, infection, bleeding, pain
Diagnosis
- Fluid volume excess related to ascites.
- Risk for injury related to procedure.
- Risk for infection related to procedure.
- Ineffective breathing pattern related to pain and decreased intrathoracic space
Goals
- The client will maintain adequate fluid balance.
- The client will remain free from injury.
- The client will identify activities to minimize complication pre- and post-operatively.
- The client will have an acceptable blood pressure measurement reading.
Interventions
- Assess and monitor blood pressure and other vital signs frequently.
- Assess client's comfort level and respiratory status before during and after procedure.
- Monitor amount, color and clarity of drainage from procedure.
- Monitor for signs and symptoms of infection.
- Assess puncture site frequently for signs and symptoms of bleeding or infection.
- Assist client to comfortable position.
- Encourage client to call for assistance with any movement.
- Monitor orthostatic changes and assist client with ambulation.
- Monitor electrolytes, fluid-volume status, weight, and neurological status post-procedure.
- Teach client signs and symptoms of infection to report to health care provider.
- Teach client and family that slow position changes are necessary to prevent syncope or fainting.
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