What is the main pharmacological concern after performing a paracentesis?

Rationale: A. Tachycardia may occur secondary to hypotension, but it is a secondary concern, not the primary pharmacological issue. B. Paracentesis does not directly affect blood glucose levels. C. While changes in bowel habits may occur with fluid shifts, they are not the primary concern after paracentesis. D. Removal of large volumes of ascitic fluid can lead to intravascular volume depletion, resulting in hypotension. Monitoring blood pressure before, during, and after the procedure is essential, and volume replacement may be required to maintain hemodynamic stability.