Severe coughing and shortness of breath during a thoracentesis are indicative of which of the following complications?
a. Re-expansion pulmonary edema
b. Pleural infection
c. Pneumothorax
d. Hemothorax
A
Re-expansion pulmonary edema can occur when a large amount of effusion fluid (~1000-1500 mL) is removed from the pleural space. Removal of the fluid increases the negative intrapleural pressure, which can lead to edema when the lung does not re-expand to fill the space. The patient experiences severe coughing and shortness of breath. The onset of these symptoms is an indication to discontinue the thoracentesis.
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