Paracentesis: Difference between revisions
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# Increased LDH | # Increased LDH | ||
==If on Peritoneal Dialysis | ==If on Peritoneal Dialysis== | ||
SBP if: | |||
1) >100WBC OR >50% NEUT | 1) >100WBC OR >50% NEUT | ||
=== | ===If on Nightly APD=== | ||
SBP if: | |||
1) >50%NEUT | 1) >50%NEUT | ||
Revision as of 19:41, 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 if: 1) >100WBC OR >50% NEUT
If on Nightly APD
SBP if: 1) >50%NEUT
Source
12/06 DONALDSON