Lumber Puncture

Subject: Medical and Surgical Nursing I (Theory)

Overview

A lumbar puncture involves inserting a sterile needle between the third and fourth vertebrae in the spinal column to access the subarachnoid area, where cerebrospinal fluid is located. Sterile procedures and precise patient placement are needed for this examination. A needle is inserted into the subarachnoid space in the lumber region to perform a lumber puncture. The third and fourth lumbar intervertebral foramen is punctured with a needle to access the subarachnoid area. The procedure is done to collect cerebrospinal fluid samples for laboratory analysis and check for signs of blood in the fluid, which would suggest a brain bleed.

The procedure known as a "lumber puncture" is performed to access the cerebral spinal fluid by inserting a sterile needle between the third and fourth vertebrae of the spinal column. In order to perform this test, the subject must be positioned precisely and sterile conditions must be maintained. For therapeutic purposes, such as reducing intracranial pressure and delivering medication or anesthesia, this procedure is routinely carried out.

When performing a lumbar puncture, a needle is inserted into the spinal column at the level of the lumbar subarachnoid space. In this procedure, the needle is placed into the subarachnoid space between the third and fourth lumbar interspace.

Diagnostic uses for lumber puncture

The major objective of lumber puncture is to determine the CSF pressure in the brain.
To identify signs of rising pressure inside the skull.
To detect the presence if there is blood in the spinal fluid, it means there is bleeding in the brain.
The goal is to collect CSF samples for further study.

How it should be done?

Check the patient's medical history to see why a lumber puncture has been scheduled and what the patient knows about it.
Compile all required materials.
Container for timber that is both sanitary and disposable, protective gloves
To treat with betadine
Check Subcutaneous nerve blocks
Check affixes Labels
Request forms for the laboratory.
Discuss the patient's identification with them.
Talk to the patient to find out if they are aware of why a lumbar puncture is being performed.
When appropriate, you should brief the patient on the rationale behind the lumbar puncture. To avoid confounding the patient, explain the purpose in the same way as the doctor.
Brief the patient about the next surgery

References

G. Mandal (August 2013).
The Adult Health Nursing Textbook (2nd ed.). Dilllibazar, Kathmandu, Nepal: Makalu Publishing House. Documentation about lumbar puncture was retrieved from https://ar.scribd.com/document/48383972/ in August 2013.
https://archive.org/stream/485285/4476 djvu.txt

Things to remember

Lumber puncture is the insertion of a sterile needle into the subarachnoid space of the spinal canal,
A lumber puncture is carried out by inserting a needle into the lumbar subarachnoid space.
To determine the pressure of the cerebral spinal fluid.
explain to the patient the specific purpose of the lumbar puncture procedure.
Explain the procedure to the patient
This test require sterile techniques and careful patient positioning.

Questions and Answers

What is lumber puncture ?

To access the cerebral spinal fluid, a sterile needle is inserted via the spinal canal's subarachnoid area, often between the third and fourth vertebra. Sterile procedures and careful patient posture are required for this examination. In order to relieve intracranial pressure and administer medication or anesthesia, it is done therapeutically.

A needle is inserted into the lumber subarachnoid space to perform a lumber puncture. The third and fourth lumber intespaces are where the needle is inserted into the subarachnoid space.

Why lumber puncture is performed ? Explain its nursing management.

Diagnostic Ises for Lumber Puncture

To determine the pressure of the cerebral spinal fluid.
To detect increasing intracranial pressure.
To detect presence of blood in the cerebral spinal fluid which indicates cerebral hemorrhage.
To obtain cerebral spinal fluid specimens for laboratory analysis.

Nursing Implications

Review the patients clinical record to determine the reason for the patients scheduled lumber puncture proceduw and what the patient has been told about the procedure.
Assemble the necessw equiw. Streile disposable lumber tray. Overbed table.
Sterile gloves.
Betadine solution.
Local anesthesia.
Labels.
Laboratory request slips.
Approach the identity the patient.
Interview tge patient to determine his or her knowledge of the purpose of tge lumbar puncture procedure.
As indicated, explain to the patient the specific purpose of the lumbar puncture procedure. Explain purpose in a manner consistent with that offered by the physician to avoid confusing the patient.
Expalin the procedure to the patient.