{"id":10101,"date":"2015-03-28T22:03:41","date_gmt":"2015-03-29T02:03:41","guid":{"rendered":"https:\/\/crashingpatient.com\/?p=10101"},"modified":"2016-05-13T20:51:55","modified_gmt":"2016-05-14T00:51:55","slug":"thoracentesis-2","status":"publish","type":"post","link":"https:\/\/crashingpatient.com\/procedures\/thoracentesis-2.htm\/","title":{"rendered":"Thoracentesis"},"content":{"rendered":"
To find the level, use UTS or put stethoscope on the back and tap the sternum with your fingers…<\/p>\n
<\/a><\/p>\n Red tube (LDH, protein, glucose, amylase, triglycerides, and perhaps albumin)<\/p>\n Lavender (cell count)<\/p>\n ABG syringe for pH<\/p>\n CX bottles<\/p>\n Two extra tubes<\/p>\n Extra red to hold<\/p>\n Bag for cytology (or green top)<\/p>\n Also red top full of blood for LDH, Amylase, Trig, Protein<\/p>\n <\/p>\n Some believe: avoid taking off more than 1 \u00bd liters to avoid reexpansion pulmonary edema<\/p>\n a catheter length of 5 cm would only reliably penetrate the pleural space of 75% of patients. A longer catheter should be considered, especially in women (AEM Feb 2004)<\/p>\n <\/p>\n Consider using ultrasound to guide your puncture site. In those cases where a puncture site was proposed clinically, 1\/4 of them were deemed dangerous and inaccurate. Ultrasound was able to demonstrate a safe site in half of the cases when clinical exam did not yield a site. (Chest 2003, 123:436-441)<\/p>\n <\/p>\n can use one lumen central line.<\/p>\n sit pt up to 45<\/p>\n attached to urine drainage bag adapted to iv set with drip chamber cut off<\/p>\n <\/p>\n <\/p>\n<\/span>What to Send<\/span><\/h2>\n