Nursing points of bone marrow puncture needle

1. Precautions before surgery: (1) Laboratory tests and drug allergy tests: check blood and clotting time. If procaine is used for local anesthesia, the patient needs a skin test. (2) Position preparation: According to the puncture site, assist the patient to adopt a suitable position. If the sternal and anterior superior skeletal spine is punctured, take the supine position, and the former needs to be cushioned on the back to make the chest slightly protrude; if it is behind the iliac For upper spine puncture, take the lateral or prone position; for the spinous process puncture point, take the sitting position, bend the waist as much as possible, and bend the head over the chest to expose the spinous process.

2. Postoperative attention: (1) Observation: Pay attention to observe whether there is bleeding at the puncture site. If there is bleeding, immediately replace the sterile gauze block and compress the wound until there is no bleeding. (2) Protect the puncture site: instruct the patient not to wet the puncture site within 48 to 72 hours, stay in bed more, avoid strenuous activities, and prevent wound infection.

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