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    Lumbar Puncture

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    Mohamad Rais
    This document discusses the lumbar puncture procedure. It describes how to perform a lumbar puncture, including locating the site between vertebrae L3-L4, preparing the equipment, cleaning the skin, inserting the needle at an angle toward the umbilicus, collecting cerebrospinal fluid in tubes, removing the needle and applying a dressing. Risk factors for complications are listed as age over 65, seizure history, abnormal breathing, and hypertension with bradycardia. Potential complications include post-spinal puncture headache, bloody tap, infection, hemorrhage, nerve pain, and cerebral herniation.

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    Lumbar Puncture

    Uploaded by

    Mohamad Rais
    413 views10 pages
    This document discusses the lumbar puncture procedure. It describes how to perform a lumbar puncture, including locating the site between vertebrae L3-L4, preparing the equipment, cleaning the skin, inserting the needle at an angle toward the umbilicus, collecting cerebrospinal fluid in tubes, removing the needle and applying a dressing. Risk factors for complications are listed as age over 65, seizure history, abnormal breathing, and hypertension with bradycardia. Potential complications include post-spinal puncture headache, bloody tap, infection, hemorrhage, nerve pain, and cerebral herniation.

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    This document discusses the lumbar puncture procedure. It describes how to perform a lumbar puncture, including locating the site between vertebrae L3-L4, preparing the equipment, cleaning the skin, inserting the needle at an angle toward the umbilicus, collecting cerebrospinal fluid in tubes, removing the needle and applying a dressing. Risk factors for complications are listed as age over 65, seizure history, abnormal breathing, and hypertension with bradycardia. Potential complications include post-spinal puncture headache, bloody tap, infection, hemorrhage, nerve pain, and cerebral herniation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    413 views10 pages

    Lumbar Puncture

    Uploaded by

    Mohamad Rais
    This document discusses the lumbar puncture procedure. It describes how to perform a lumbar puncture, including locating the site between vertebrae L3-L4, preparing the equipment, cleaning the skin, inserting the needle at an angle toward the umbilicus, collecting cerebrospinal fluid in tubes, removing the needle and applying a dressing. Risk factors for complications are listed as age over 65, seizure history, abnormal breathing, and hypertension with bradycardia. Potential complications include post-spinal puncture headache, bloody tap, infection, hemorrhage, nerve pain, and cerebral herniation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 10

    NURSING SCIENCE 3 (MKJ 2123)

    MOHAMAD RAIS BIN MOHD SHUHAIMI


    SP51213039
    A lumbar puncture (LP), also known as
    a spinal tap, is a medical procedure in which
    a needle is inserted into the spine, most
    commonly to collect cerebrospinal fluid (CSF)
    for diagnostic testing.
    Lumbar puncture should be performed for
    the following indications:
    Suspicion of meningitis
    Suspicion of subarachnoid hemorrhage (SAH)
    Suspicion of central nervous system (CNS)
    diseases such as Guillain-Barr syndrome and
    carcinomatous meningitis.
    Wearing nonsterile gloves, locate the L3-L4
    interspace by palpating the right and left
    posterior superior iliac crests and moving the
    fingers medially toward the spine.
    Open the spinal tray, change to sterile gloves,
    and prepare the equipment.
    Assemble the stopcock on the manometer,
    and draw the lidocaine into the 10-mL
    syringe.
    Use the skin swabs and antiseptic solution to
    clean the skin in a circular fashion, starting at
    the L3-L4 interspace and moving outward to
    include at least 1 interspace above and 1
    below.
    Insert the needle at a slightly cephalad angle,
    directing it toward the umbilicus. Advance the
    needle slowly but smoothly. Occasionally, a
    characteristic pop is felt when the needle
    penetrates the dura.
    Collect at least 10 drops of cerebrospinal
    fluid (CSF) in each of the 4 plastic tubes,
    starting with tube 1.
    Replace the stylet, and remove the needle.
    Clean off the skin preparation solution. Apply
    a sterile dressing, and place the patient in the
    supine position.
    Age >65
    Recent history of seizure
    Abnormal respiratory pattern
    Hypertension with bradycardia and
    deteriorating consciousness
    If a patient develops headache after lumbar
    puncture with characteristic features, they
    should be encouraged to lie in a comfortable
    position, which is mostly in the supine
    position owing to the postural nature of the
    symptoms. Supporting treatment such as
    rehydration, simple analgesics, opioids and
    antiemetics may control the symptoms in
    milder cases.
    Postspinal puncture headache
    Bloody tap
    Infection
    Hemorrhage
    Dysesthesia
    Postdural puncture cerebral herniation

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