Lumbar Puncture
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LUMBAR PUNCTURE
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POSITIONING PATIENT FOR LUMBAR PUNCTURE
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After tap, remove needle, and place a bandage over the puncture site. Instruct patient to remain lying down for 1-2 hours before getting up
*- , Complication Bleeding from puncture site post-tap Bloody spinal fluid
Infection
Post-tap persisting headache
Prevention None
None
*
" Management Local pressure
Withdraw needle and perform tap at interspace either above or below Antibiotics
Do not perform tap through infected skin Use sterile technique Use pencil-tipped needle Post-procedure epidural if possible; insert blood patch by needle bevel-up anesthesia consultant
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! " #
" #! $ $ ' ( * + ,
) *
%& %% * * *
-! # +!#
- , )
. / 0 2
1
* 3
, ) 4
POSITIONING PATIENT FOR LUMBAR PUNCTURE
$
+ )
(0 ) $ 5 6 7*$ 86 5* $ %68 , %9 * 3 ( $ 76 4 9 $ 567 9: ) ,9
":
$ +"; ! - #
(9 +
4< ) = (
)
9 ) ' , , )
,6
( 9
) ,
) ,
( (
86
)
9 89 *
*
* * 6
>
)* 9"
86 )
( %&
-?
9
)* *
) 46 5 )
( * 46%
(
*) (* *
,
) 6 , 86
40 %0@
* A
* *
,
80 50
,
After tap, remove needle, and place a bandage over the puncture site. Instruct patient to remain lying down for 1-2 hours before getting up
*- , Complication Bleeding from puncture site post-tap Bloody spinal fluid
Infection
Post-tap persisting headache
Prevention None
None
*
" Management Local pressure
Withdraw needle and perform tap at interspace either above or below Antibiotics
Do not perform tap through infected skin Use sterile technique Use pencil-tipped needle Post-procedure epidural if possible; insert blood patch by needle bevel-up anesthesia consultant
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