Exam (elaborations)
CPSS- Centesis Exam Questions And Answers A+ Graded
- Course
- Institution
CPSS- Centesis Exam Questions And Answers A+ Graded...
[Show more]
Content preview
CPSS- Centesis Exam Questions AndAnswers A+ Graded
What is the indication of a paracentesis? -Answer ascites
- new onset
- therapeutic
- diagnostic
What are the relative contraindications for a paracentesis? -Answer Coagulopathy
Overlying anatomical or infectious abnormalities
Distended abdominal organs (i.e. ileus, megacolon)
Surgical scars: May have attached bowel
T/F: using an US is the standard of care for a paracentesis? -Answer TRUE
What is the best approach for a paracentesis? Why? -Answer Lateral
Bc when the pt is supine, the fluid will pool to the posterior wall and avoiding bowel
perforation is easier.
How should the pt be positioned for a paracentesis? - Answer Pt supine and/or with
head elevated to 10-30 degrees
, (pic on lecture says 30-45 degrees)
What do you need to careful of when using the anterior approach for a paracentesis? -
Answer avoid the inferior epigastric arteries.
T/F: For a paracentesis, it is considered a complete sterile technique, when the
practitioner must be gowned up as well? - Answer FALSE- Sterile technique but do not
have to fully scrub in (don't have to fully gown in)
When inserting the needle for a paracentesis, you want to pull the skin taught in what
direction? - Answer caudad (approx 1-2 cm)
How will fluid on an US appear? - Answer anechoic/hypoechoic (DARK)
This is where the needle will go to drain!
How can you identify and locate the bowel in an US before you do a paracentesis? -
Answer Bowel will glisten (more than other tissue) and you will be able to see
peristalsis.
While placing the needle for a paracentesis, how would you know that you are in the
peritoneal cavity? - Answer loss of resistance will be felt
Paracentesis procedure:
a. Grasp syringe with (_) hand
b. Rest (_) surface of (_) hand on patient's abdomen, and use (_) of this hand to steady
shaft of needle
c. Keep nondominant hand in this position during needle advancement and continue to
hold the (_) - Answer a. dominant
b. dorsal; nondominant; thumb and index finger
c. nondominant; shaft of needle
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now