Medical Surgical Nursing

(Tina Sui) #1
8. Measure and record blood pressure frequently.

9. Monitor the patient closely for signs of vascular collapse: pallor, increased
pulse rate, or decreased blood pressure.

.


Post-procedure


1. Return patient to bed or to a comfortable sitting position.

2. Measure, describe, and record the fluid collected.

3. Label samples of fluid and send to laboratory.

4. Continue to monitor vital signs every 15 minutes for 1 hour ,every 30 minutes
over 2 hours, then every hour over 2 hours and then every 4 hours. Monitor
temperature after procedure and every 4 hours.

5. Assess for hypovolemia, electrolyte loss, changes in mental status, and
encephalopathy.

6. Check puncture site when taking vital signs for bleeding and leakage.

7. Provide patient education
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