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would be the best time to take a break from all her nursing school
requirements and just have a chill day. After cooking something to
eat, she sits on her comfy couch and surfs the television for
something to watch. After changing from one channel to another,
she finally settles down to a drama movie.
The movie has got her so engrossed. She wipes a single tear
escaping from her right eye as she watches the doctor tell the main
character about the probability of her having brain cancer and that
she needs to undergo a spinal tap procedure.
As the character later gets placed on a side lying position, Giselle
tries to recall everything they have discussed in the classroom
about the procedure.
How is it done again? What are the things that need to be
considered when performing the procedure? she asks herself as
she continues to watch as a needle gets inserted at the lower back
of the main character.
Overview of the Lumbar Puncture Procedure
Lumbar puncture is often performed in the emergency department to obtain
information about the cerebrospinal fluid (CSF). Also known as spinal tap,
this procedure can help diagnose serious and sometimes life-threatening
infections, including meningitis; disorders of the central nervous system, such
as Guillain-Barre syndrome and multiple sclerosis; or cancers of the brain
or spinal cord. At other times, doctors use lumbar puncture to inject anesthetic
medications or chemotherapy drugs into the cerebrospinal fluid.
Lumbar puncture is performed in the patients lower back, specifically in the
lumbar region. During this procedure, a needle is inserted between two
vertebrae to remove a sample of cerebrospinal fluid, which surrounds the
brain and spinal cord to protect them from injury.
Results
The procedure may last up to about 45 minutes. After the fluid is obtained, it
will be sent to the laboratory where it will be thoroughly examined including its
general appearance, Protein (total protein and the presence of certain
proteins), White blood cells, Sugar (glucose), Microorganisms, and Cancer
cells.Laboratory results are ten combined with information obtained during the
test, such as spinal fluid pressure, to help establish a possible diagnosis.