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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