Paracentesis: Difference between revisions
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2) Positive gm stain (single microbe) | 2) Positive gm stain (single microbe) | ||
=== | ===Consider Peritonitis (eg. perf appy, chole)=== | ||
Any: | Any: | ||
# >10,000 WBC | # >10,000 WBC | ||
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# Increased LDH | # Increased LDH | ||
== | ==If on Peritoneal Dialysis (SBP)== | ||
1) >100WBC OR >50% NEUT | 1) >100WBC OR >50% NEUT | ||
Revision as of 19:37, 9 June 2011
Procedure
- Send Amyase (>100 suggestive of intra-abd process)
- Placing Cx in BCx tube increases yield
Diagnosis
SBP
1) >500 WBC or >250 PMNs
or
2) Positive gm stain (single microbe)
Consider Peritonitis (eg. perf appy, chole)
Any:
- >10,000 WBC
- Polymicrobial gm stain
- Total protein >1g/dL
- Glu <50
- Increased LDH
If on Peritoneal Dialysis (SBP)
1) >100WBC OR >50% NEUT
IF NIGHTLY (APD)
1) >50%NEUT
Source
12/06 DONALDSON