csf examination process for lumber puncture

1. CSF EXAMINATION
INDICATION.
1.Infectio n :meningitis,ence
phalitis.
2.Inflammatorycondition
s: sarcoidosis,neurosyphilis,lym
phoma 3.Infiltrativeconditi
on; leukemia,lymphoma.
4.Administration of drug in
csf .
CONTRAINDICATION.
1.Local skin inection
2.Intracranial mass
lesion with raised ICT
3.Uncontrolled
bledding diathesis
LUMBAR PUNCTURE PROCEDURE
1.FIRST OF ALL COLLECT 2 ML BLOOD IN GREY
VIAL FOR RBS ESTIMATIMATION
2.Patient usually lie on bed on side (laterall
recumbent position )with knee pulled up
against the chest .may also done in sitting up
and leaning forward.
3.Identify the needle insertion site clinically;
palpate the lumbar vertebral spinous
processes to identify the one closest to an
imaginary line between the top of the superior
posterior iliac crest.
4.Sterilize the area with betadine lotion in
circular manner in a centrifugal manner then
inject Local anaesthetic at site of puncture.
5.Push the lp needle through the skin and
tissues between two vertebra especially L3and
L4
6.If csf pressure is raised then do it guarded
7.The needle is removed with stylet in the
ITEMS REQUIRED
1.2CSF VIAL AND 1 GREY VIAL
2.LP NEEDLE 20,22GAUGE
3.BETADINE LOTION AND GAUGE
PIECES
4.LIDOCAINE AND SYRINGE 5 ML
5.HANSAPLAST BAND
AID,GLOVES
POST PROCEDURES
INSTRUCTION
1.Patient should be lie
supine with head slightly
raised
2.Avoid strenuous or
vigorous exercise for a day
3.Stay hydrated and drink
plenty of water
4.If patient have headache
then give analgesics and