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AHN 568 Test 1-Questions & Answers $12.99   Add to cart

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AHN 568 Test 1-Questions & Answers

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AHN 568 Test 1-Questions & Answers

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  • November 11, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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AHN 568 Test 1-Questions & Answers
Where should LP needle be placed? Correct Ans-Between nerve roots of cadua equina.



Where is LP needle insertion point? Correct Ans-Above superior aspect of L4 or L5.



Landmarks for LP insertion? Correct Ans-Above iliac crest and below L3. Stay below spinal
cord.



How far do you advance needle after pop through ligament flavum? Correct Ans-2 mm
increments. Make sure stylette is replaced before each advancement.



Where does iliac crest intersect spine? Correct Ans-At L5.



Benefits of lateral recumbent position in LP? Correct Ans-Less HA, and better opening
pressure.



Why fetal position for LP? Correct Ans-Bigger gap between spinous process.



LP needle size for adults? Correct Ans-20-22 guage. 3.5 inches.



LP contraindications? Correct Ans-ICP, herniation, focal neuro deficits, bleeding diathesis,
previous lumbar surgery.



Indications for paracentesis? Correct Ans-Diagnose new onset ascites. Rule out bacterial
peritonitis with preexisting ascites.

, Indications for large volume paracentesis? Correct Ans-Stable patient, increase comfort,
decrease shortness of breath.



Contraindications to paracentesis? Correct Ans-DIC.



Why use ultrasound guided paracentesis? Correct Ans-Decrease risk for organ injury. Good in
fatties and those with lots of abdominal surgeries.



What are the 2 paracentesis insertion sites? Correct Ans-2 cm below umbilcus or left & right
lower quadrants.



What vessels do you want to miss with left or right lower quadrant paracentesis? Correct
Ans-Inferior epigastric arteries.



What should the patient empty before sub umbilicus paracentesis? Correct Ans-Bladder



How much 1 or 2 percent lido for paracentesis? Correct Ans-5-10 ml.



#1 assessment of ascites fluid? Correct Ans-Serum ascites albumin gradient. SAAG.



SAGG greater than 1.1 grams per deciliter? Correct Ans-Portal hypertension.



SAGG less than 1.1? Correct Ans-Cancer, infection, pancreatitis.



What causes post paracentesis circulatory dysfunction? Correct Ans-Taking off too much
fluid. Give albumin if removing more than 5 liters.

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