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Source:

Nursing2015

February 2005, Volume 35 Number 2 , p 68 - 68

Author

  • JILL RUSHING RN, MSN

Abstract

Outline

  • DO

  • Assessing for shifting dullness:

  • Assessing for fluid wave:

  • DON'T

  • SELECTED REFERENCES



    Graphics

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    A DISTENDED ABDOMEN, bulging flanks, and a protruding, displaced umbilicus are signs of ascites, free fluid in the peritoneal cavity. Cirrhosis, heart failure, renal failure, portal hypertension, chronic hepatitis, and cancer are common causes. Shifting dullness and a fluid wave indicate ascites.

    DO

    * Provide privacy, explain the procedure to the patient, and perform hand hygiene.

    * Place him supine and inspect his abdomen for distension. Observe for bulging flanks caused by ascites fluid sinking with gravity. (Gas-filled bowel loops rise to the surface.) Look for shiny, taut skin and prominent veins and assess ...

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