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chp 18 cont 5

Fecal collection, thoracocentesis and abdominocentesis

Materials needed for fecal collection are gloves, lubricant jelly, fecal loop
thoracocentesis is a procedure that may be used to diagnose or treat pleural filling defects (pneumothorax or pleural effusion)
pleural filling defects from fluid or air should be considered when the patient has tachypnea, short shallow breaths, respiratory distress, open mouth breathing, diminished breath sounds and cyanosis
materials needed for a thoracocentesis sterile gloves, OTN catheter, ext set, 3 way stopcock, syringe, scalpel blade #15, Lidocaine, cllippers, antiseptic scrub, EDTA tube, culture transport media if doing cultures
thoracocentesis is performed at the 7th and 8th intercostal space
the catheter will be inserted cranial to the rib and in teh caudal aspect of the intercostal space
complications from this procedure include pneumothorax, lung laceration, laceration of an intercostal vessel or internal thoracic artery
abdominocentesis the aspiraation of fluid from the abdominal cavity
aids in the diagnosis of hemoabdomen, uroabdomen, peritonitis or ascites from heart disease.
materials needed are sterile gloves, 20 to 22 ga needles, syringe, clippers, scrub and collection tubes.
abdominocentesis is performed at the right midabdominal region to avoid the liver, spleen and urinary bladder
samples may be submitted for cell count, packed cell volume, TP, cytologic exam, biochemical analysis (CREA, K, Billirubin) and culture and sensitivity
Created by: tnewhouse