Ascites Drainage Catheter Placement
Ascites drainage catheter placement is a procedure to place a thin, flexible tube in your abdomen to help drain excess fluid. Draining excess fluid in the abdomen can help prevent pain and other problems from developing.
LET YOUR HEALTH CARE PROVIDER KNOW ABOUT:
Any allergies you have.
All medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines.
Previous problems you or members of your family have had with the use of anesthetics.
Any blood disorders you have.
Previous surgeries you have had.
Any medical conditions you may have.
RISKS AND COMPLICATIONS
Generally, this is a safe procedure. However, problems may occur, including:
Damage to surrounding nerves, tissues, or structures.
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If you need help quitting, ask your health care provider.
Plan to have someone take you home after the procedure.
Arrange to have someone help you with drainage at home in case you cannot do it yourself. Your health care provider can help you arrange for a home health service if needed.
PROCEDURE
You will be asked to lie down on an X-ray table.
You will likely be given a medicine that helps you relax (sedative) and a medicine that numbs the area (local anesthetic).
Machines will be used to monitor your blood pressure, heart rate, breathing rate, and blood oxygen level during the procedure.
The skin around the insertion site will be cleansed with antibacterial solution.
Sterile towels or drapes will be used to cover the abdominal area.
An incision will be made in your abdomen.
The ascites drainage catheter will be placed in your abdomen. An ultrasound will likely be used to help guide the placement.
An X-ray may be taken to make sure the catheter is in the right place.
The incision will be closed with stitches
Prior to intubation for a surgical procedure, the anesthesiologist administered a single dose of the neuromuscular blocking agent, succinylcholine, to a 23-year-old female to provide muscular relaxation during surgery and to facilitate the insertion of the endotracheal tube. Following this, the inhalation anesthetic was administered and the surgical procedure completed.
Brody, Michael, and Donald Martin. “The Role of Anesthesiologists.” Physicians Protecting Patients. N.p. N.d. Web. October 21, 2015. An anesthesiologist is a physician who has received at least 8 years of schooling and has completed a residency program dealing with anesthesiology. Now, a licensed physician, an anesthesiologist deals with the administration of anesthesia during many medical procedures, including surgical or obstetric procedures, and pain management for acute and chronic illnesses, or cancer related pain. Anesthesiologists are also in charge of “anesthesia care teams” that include the anesthesiologist, an anesthesia assistant, certified registered nurse anesthetist, and an anesthesia technician. As the leader of the care team, the anesthesiologist is responsible for assessing the patient before, during, and after medical procedures, as well as developing and monitoring performance and quality of practices and standards in regards to administering anesthesia. The entirety of
Dr. Tagge, the lead surgeon, finally updated the family over two and a half hours later stating that Lewis did well even though he had to reposition the metal bar four times for correct placement (Kumar, 2008; Monk, 2002). Helen reported wondering if Dr. Tagge had realized how much Lewis’ chest depression had deepened since he last saw him a year ago in the office, especially considering he did not lay eyes on Lewis until he was under anesthesia the day of surgery (Kumar, 2008). In the recovery room, Lewis was conscious and alert with good vital signs, listing his pain as a three out of ten (Monk, 2002). Nurses and doctors in the recovery area charted that he had not produced any urine in his catheter despite intravenous hydration (Kumar, 2008; Monk, 2002). Epidural opioid analgesia was administered post-operatively for pain control, but was supplemented every six hours by intravenous Toradol (Ketorolac) (Kumar, 2008; Solidline Media,
2) “It’s difficult to determine who provides anesthesia care in the studies and the number of cases that actually involved a physician anesthesiologist (p. 11)” the ASA is claiming that the data collected and used in this review, are difficult to determine who did what and when. In other words it is unclear as to who was performing and providing care in these studies and very well could be, the care provided by an anesthesiologist. They say also that the data provided and used by the study has limiting factors to determine whether an anesthesiologist was available as needed, for rescue or advice by a patient being treated by a nurse anesthetist if they were to experience complications under the
Then after threading a catheter through the needle, the anesthesiologist will withdraw the needle and leave the catheter i...
Breathing is the most important AL (Roper et al, 1998). A detailed assessment of her airway would be performed because protection of the airway throughout anaesthesia is essential (Yates, 2000). This does not just include recording of respiration rate and oxygen saturation (SpO2) but also noting any use of accessory muscles, shortness of breath, auscultation of chest and lungs areas for wheezes/crackles and asking patient about history of any respiratory illness/smoking (McArthur-Rouse, 2007).
American Association of Nurse Anesthetists. Professional Aspects of Nurse Anesthesia Practice. Philadelphia: F. A. Davis Company, 1994. Print.
Volles, D. F. (2011, April 11). University of Virginia Health System Adult and Geriatric Sedation/Analgesia for Diagnostic and Therapeutic Procedures. Retrieved May 12, 2011, from University of Virgina Health System: University of Virginia Health System Adult and Geriatric Sedation/Analgesia for Diagnostic and Therapeutic Procedures
The urinary system does more than you might think. The obvious functions of the urinary system are excretory and urine formation which transports storage urine and release, but it does quite a lot more. Since it is a regulator of how much water is in the blood it can impact blood pressure but it can also stimulate blood cell formation. Vitamin D is made from the interaction of sunlight and your skin but it is activated to perform its hormone function by the kidney cells. Your blood must stay within a very narrow range of pH for critical chemical reactions to occur, and to prevent damage to cells and tissues. The Urinary System is vital in keeping the pH in proper balance. Summarizing the previous we can conclude that the urinary system has 7 functions in total.
Anesthesia is used in almost every single surgery. It is a numbing medicine that numbs the nerves and makes the body go unconscious. You can’t feel anything or move while under the sedative and are often delusional after being taken off of the anesthetic. Believe it or not, about roughly two hundred years ago doctors didn’t use anesthesia during surgery. It was rarely ever practiced. Patients could feel everything and were physically held down while being operated on. 2It wasn’t until 1846 that a dentist first used an anesthetic on a patient going into surgery and the practice spread and became popular (Anesthesia). To this day, advancements are still being made in anesthesiology. 7The more scientists learn about molecules and anesthetic side effects, the better ability to design agents that are more targeted, more effective and safer, with fewer side effects for the patients (Anesthesia). Technological advancements will make it easier to read vital life signs in a person and help better decide the specific dosages a person needs.
Webster CS, Merry AF, Larsson L, McGrath KA, Weller J. The frequency and nature of drug administration error during anaesthesia. Anaesth Intensive Care 2001; 29: 494-500.
The cavity is the space surrounding the intestines and internal organs, such as the stomach. The PD catheter is inserted surgically below the belly button to allow fluid to be instilled into the peritoneal cavity, thereby allowing diffusion to occur naturally between the capillaries in the peritoneal lining and the fluid, which is called a dialysate.... ... middle of paper ... ... HD patients are aware of the risk of access infections, but tend to rely on the clinic nurse to recognize and treat the infection.
...f the clamps on the tubing to allow the IV solution to run freely. Slowly, decrease the flow of the solution to the appropriate rate as ordered by the physician. Using a small gauze pad, wipe away any excess blood or fluid on the surface of the skin. Then, using the pre-torn pieces of tape, secure the catheter hub and the IV tubing to the patient’s skin. Take extra caution not to kink the tubing. Once everything is secured, recheck the IV solution’s flow and then attend to the rest of your patients needs.
On my first day of week three clinical at 0830, client W and I were on our way to the dinning room and client B asked me to put his jacket on, so I told client W that I would meet him in the dinning room. After I helped Client B, I was on my way to the dinning room and nurse A told me that client W was experiencing difficulty breathing and we needed to give him his 0900 inhalers earlier. He was having audible wheezing and rapid respiratory rate. Therefore, we had to give client W his inhalers, SalbutaMOL Sulfate, which is a bronchodilator to allow the alveoli in the lung to open so th...
Pharmacology is a vital component in the perioperative practice. Medication use is monitored closely during the perioperative period. Preoperatively, there are certain drugs that must be discontinued prior to a surgery as they increase surgical risk, including anticoagulants, tranquillisers, corticosteroids and diuretics (Laws, 2010b). In fact, these drugs can increase the risk of respiratory depression, infection, fluid and electrolyte imbalance and increased risk of bleeding (Hamlin, 2010). Open communication is important in obtaining a medication history, and in identifying the drugs taken prior to the surgery. If any of these medications has be...