Which vital signs should the nurse prioritize monitoring after a paracentesis?

After a paracentesis, monitoring blood pressure and respiratory rate is crucial for several reasons related to potential complications of the procedure.

Blood pressure should be closely observed because paracentesis can lead to fluid shifts and potential hypotension, especially if a significant volume of fluid is removed. This can place the patient at risk for hypovolemic shock, necessitating vigilant monitoring to ensure stability.

Respiratory rate is also important as removing fluid from the abdominal cavity may lead to changes in diaphragmatic movement and lung expansion. If the procedure causes discomfort or contributes to abdominal distension, it may also impact the patient’s ability to breathe normally.

Taking these factors into account, prioritizing the assessment of blood pressure and respiratory rate allows for early detection and intervention in case of any complications, ensuring patient safety and stability after the procedure.