Tech-Special Procedures (Pericardiocentesis)

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Author:
heather.dundas
ID:
240641
Filename:
Tech-Special Procedures (Pericardiocentesis)
Updated:
2013-10-14 20:52:39
Tags:
vti
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vti
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  1. Puncture of the outer sac of the heart to get fluid
    pericardiocentesis
  2. 2 indications:PC
    • pericardial effusion
    • cardiac tamponade


    performed both diagnostically and therapeutically
  3. 2 causes of pericardial effusion:PN
    • pericarditis
    • neoplasia
  4. Heart on x-ray
    looks enlarged like glob and the fluid buildup is white
  5. Heart on ultrasound
    looks enlarged like a globe and built up fluid is dark
  6. c.s.=LEACSACP
    • lethargy
    • dyspnea
    • anorexia
    • collapse
    • sudden death
    • abdominal distention
    • cough
    • pleural effusion
  7. Diagnostic imaging
    echocardiogram
  8. Materials for pericadiocentesis:BS3CSSCL
    • bowl for fluid collection
    • syringe
    • 3 way stop cock
    • central venous catheter (14-16g)
    • sterile gloves
    • surgical scrub
    • collection tubes
    • lidocaine
  9. Pericardiocentesis is what kind of collection system?
    closed
  10. Is aseptic technique needed?
    yes
  11. What position are they in?
    sternal or R lateral recumbency
  12. What is used to monitor?
    • EKG
    • During entire procedure!
  13. What is used to dx?
    echocardiogram
  14. Patients need to be monitored for:ORD
    • ongoing bleeding into the thorax
    • recurrent pericardial effusion
    • development of cardiac arrythmias
  15. In addition to vitals (HR,RR,BP) what else must be noted?
    • pulse stregth
    • respiratory effort

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