Postoperative nursing care and precautions for children with lumbar puncture needle

Adjust the drip rate according to different needs, and it is advisable to not exceed 20 drops per minute. Excessive drainage may cause intracranial hematoma or brain herniation. The amount of cerebrospinal fluid drainage should be controlled according to needs. The total amount of intraoperative drainage is 40 mL to 60 mL, and the daily drainage volume for preventive and therapeutic purposes is about 150 mL and 350 mL, respectively. Those who need blood cerebrospinal fluid replacement can inject normal saline through the three-way tube. The amount of normal saline should be less than the amount of cerebrospinal fluid discharged each time. Follow the WeChat public account llxsll or intrathecal antibiotics through the three-way tube to treat intraventricular infections. Avoid twisting and discounting the catheter to prevent the drainage tube from being blocked. Because the catheter is thin and easy to be blocked by the broken tissue in the cerebrospinal fluid, it can be flushed with a small amount of normal saline. Pay attention to aseptic operation. The redness of the puncture needle can be disinfected with iodophor or ethanol cotton ball, and then replaced with sterile dry cotton ball to cover. And daily routine monitoring of cerebrospinal fluid. Pay attention to the patient's position, and change the position of the head between 15° and 30° to avoid pressure sores.

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