Precautions For Abdominal Puncture Needles

Precautions for abdominal puncture needles

1. Patients with aura of hepatic encephalopathy, ovarian cysts, echinococcosis; abdominal puncture to discharge ascites is contraindicated.

2. Closely observe the patient during the operation. If there is dizziness, palpitations, nausea, shortness of breath, rapid pulse, and pale complexion, the operation should be stopped immediately and appropriate treatment should be performed.

3. It is not advisable to discharge too quickly or too much. In patients with liver cirrhosis, the discharge usually does not exceed 3000ml at a time. Excessive discharge can induce hepatic encephalopathy and electrolyte disorders. Pay attention to the color change of ascites during the dispensing process.

4. If the ascites does not flow out smoothly, the puncture needle can be moved slightly or the body position can be changed slightly.

5. Instruct the patient to lie supine after the operation, and place the puncture hole on the upper side to prevent the ascites from continuing to leak; for those with a large amount of ascites, in order to prevent leakage, be careful not to make the needle eye from the skin to the peritoneal wall in a straight line during the puncture Above, the method is to move the puncture needle around slightly after the needle tip passes through the skin to the subcutaneous, that is, with the assistance of the other hand, and then puncture into the abdominal cavity. If the puncture hole continues to leak ascites, it can be pasted with butterfly tape or collodion. After a large amount of liquid is dispensed, a multi-head abdominal band is required to prevent a sudden drop in abdominal pressure; visceral vasodilation may cause a drop in blood pressure or shock.

6. Pay attention to aseptic operation to prevent abdominal infection.

7. The abdominal circumference, pulse, blood pressure, and abdominal signs should be measured before and after the liquid to observe the changes in the condition.

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