A 49-year-old post-bariatric surgery patient is scheduled for a VASER®-assisted liposuction with tumescent infiltration.The tumescent is a solution of lactated Ringer's,lidocaine,and epinephrine.The perioperative nurse is aware that using more than 70 mL/kg of wetting solution for infiltration can lead to fluid overload.Select the most appropriate nursing action related to minimizing the risk of tumescent solution overload or disproportion to lipoaspirate.

Question

Quizplus · Accepted Answer

For safety issues,the nurse needs to communicate and verify with the surgeon the total lipoaspirate and volume of wetting solution used.The surgeon typically injects a medicated solution into the fatty areas before removal because of concerns about large fluid volume shifts and blood loss after lipectomy.Fluid overload may present as increased blood pressure,jugular vein distention,bounding pulses,cough,dyspnea,lung crackles,and pulmonary edema.

A 49-Year-Old Post-Bariatric Surgery Patient Is Scheduled for a VASER®-Assisted