What potential complication should a nurse closely monitor for after rapid fluid removal in a paracentesis?

After rapid fluid removal during a paracentesis, hypotension is a potential complication that requires close monitoring. This can occur due to the sudden decrease in intra-abdominal pressure after large volumes of fluid are removed. The immediate reduction in pressure may lead to vasodilation and a decrease in venous return to the heart, resulting in a drop in blood pressure. This can be particularly concerning in patients who may already have compromised hemodynamics or underlying conditions that affect blood volume and circulation.

Monitoring for hypotension is essential because it can lead to clinical signs of shock and inadequate perfusion of vital organs. Ensuring that the patient remains stable involves observing vital signs frequently and being prepared to manage any significant drops in blood pressure.

Other complications, while they may occur, do not have the same immediate and life-threatening implications as hypotension does following rapid fluid removal. For example, abdominal cramping can occur but is typically self-limiting and not as critical an issue as hypotension.