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Puncture of the outer sac of the heart to get fluid
- pericardial effusion
- cardiac tamponade
performed both diagnostically and therapeutically
2 causes of pericardial effusion:PN
Heart on x-ray
looks enlarged like glob and the fluid buildup is white
Heart on ultrasound
looks enlarged like a globe and built up fluid is dark
- sudden death
- abdominal distention
- pleural effusion
Materials for pericadiocentesis:BS3CSSCL
- bowl for fluid collection
- 3 way stop cock
- central venous catheter (14-16g)
- sterile gloves
- surgical scrub
- collection tubes
Pericardiocentesis is what kind of collection system?
Is aseptic technique needed?
What position are they in?
sternal or R lateral recumbency
What is used to monitor?
- During entire procedure!
What is used to dx?
Patients need to be monitored for:ORD
- ongoing bleeding into the thorax
- recurrent pericardial effusion
- development of cardiac arrythmias
In addition to vitals (HR,RR,BP) what else must be noted?
- pulse stregth
- respiratory effort