Done to obtain a specimen of pleural fluid for diagnosis
used as a procedure to remove pleural fluid (pleural effusion) or instill medication
fluid removed is limited to 1200-1500 mL at one time to reduce the risk of cardiovascular collapse from rapid removal of too much fluid.
Pre-op:
requires informed consent
upright position,leaning forward w/ arms and head supported on anchored overbed table. This position spreads the ribs, enlarging the intercostal space for needle insertion.
coach patient to hold breathe or breathe out.
Post-procedure:
Chest x-ray is taken to check for pneumothorax, which is a possible complication for thoracentesis
My post graduation plans include a position in acute care setting with the goal of transitioning to critical care. I also intend to experience the life of a travel nurse. Eventually, I would like to combine the aforementioned and become a Nurse Anesthetist.
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