The purpose of lumbar puncture and the points of postoperative care
Apr 20, 2022
Purpose:
1. Diagnosis and differential diagnosis of inflammatory diseases of the central nervous system, including purulent meningitis, tuberculous meningitis, viral meningitis, fungal meningitis, Japanese encephalitis, etc.
2. Diagnosis and differential diagnosis of cerebrovascular accident, including cerebral hemorrhage, cerebral infarction, subarachnoid hemorrhage, etc.
3. Diagnosis and treatment of neoplastic diseases It is used to diagnose meningeal leukemia, and to treat meningeal leukemia by intrathecal injection of chemotherapy drugs through lumbar puncture.
Nursing:
1 Explain the meaning and precautions of puncture to the patient before puncture, so as to facilitate cooperation.
2 Before puncture, perform procaine test on the patient and prepare the lumbar puncture disc.
3 Assist the patient to position themselves.
4 Instruct the patient to lie supine for 4 to 6 hours after the puncture.
5. Those with headache and elevated body temperature after operation should be closely observed for the occurrence of meningitis.
6. Patients with nausea, vomiting, dizziness and headache after operation can be allowed to lie down and rest. If necessary, they can be given sedative, antiemetic and analgesics according to the doctor's order.
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