Sie sind auf Seite 1von 15

ASSISTINGWITH

LUMBARPUNCTURE

NursingResponsibilities

ASSISTING WITH LUMBAR PUNCTURE Nursing Responsibilities Jan Carlo B. Evangelista Reporter

Jan Carlo B. Evangelista

Reporter

BEFORETHEPROCE

DURE

BEFORETHEPROCEDURE

Prepare the client:

Explain the procedure to the client and

support persons.

The

primary

care

provider will be taking a small sample

of spinal fluid from

the lower

spine. A

local anesthetic will be given to

minimize the discomfort.

Explain when and where the procedure

will

occur

(e.g.,

the

bedside

or

the

treatment

room)

and

who

will

be

BEFORETHEPROCEDURE

Explain that it will be necessary to lie in

a certain position

without moving for

about 15 minutes. A slight pinprick will be felt when the local anesthetic is injected and a sensation of pressure as the spinal needle is needed.

Have the client empty the bladder and bowels prior to the procedure to prevent unnecessary discomfort.

Position and drape the client.

BEFORETHEPROCEDURE

BEFORE THE PROCEDURE
BEFORE THE PROCEDURE

BEFORETHEPROCEDURE

BEFORE THE PROCEDURE
BEFORE THE PROCEDURE

DURINGTHEPROCED

DURING THE PROCED URE

URE

DURINGTHEPROCEDURE

Support and monitor the client throughout:

Stand in front of the client and support the back of the neck and knees if the client needs help remaining still.

Reassure the client throughout the procedure by explaining what is happening. Encourage normal breathing and relaxation.

Observe the client’s color, respirations, and pulse during the procedure. Ask the client to report headache or persistent

DURINGTHEPROCEDURE

Handle specimen tubes appropriately:

Wear gloves when handling test tubes.

Label the specimen tubes in sequence.

Send the CSF specimens to the lab immediately.

Place a small sterile dressing over the puncture site.

DURINGTHEPROCEDURE

DURING THE PROCEDURE
DURING THE PROCEDURE

AFTERTH

E

PROCED

URE

AFTERTHEPROCEDURE

Ensure the client’s comfort and safety:

Assist the client to a dorsal recumbent position with only one head pillow. The client remains in this position for 1 to 12 hours, depending on the primary care provider orders.

Determine whether analgesics are ordered and can be given for headaches.

Offer oral fluids frequently, unless contraindicated, to help restore the volume of CSF.

AFTERTHEPROCEDURE

Monitor the client:

Observe for swelling or bleeding at the puncture site.

Monitor changes in neurologic status.

Determine whether the client is experiencing any numbness, tingling, or pain radiating down the legs.

AFTERTHEPROCEDURE

Document the procedure on the patient’s chart:

Include date and time performed; the primary care provider’s name; the color, character, and amount of CSF; and the number of specimens obtained. Also document CSF pressure and the nurse’s assessments and interventions.

- END -

Thank you.ü

-cxdjIIdreamer