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AHN 568 Advanced Procedure videos Exam 5 Questions and Correct Verified Answers

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what conditions could you diagnose with a lumbar puncture? viral, bacterial, fungal meningitis, encephalitis, metabolic processes, inflammatory processes (MS, GBS), variety of oncologic procedures To administer anesthesia after a lumbar puncture, what two drugs could be used? narcotics, bupi...

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  • November 15, 2024
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AHN 568 Advanced Procedure videos
Exam 5 Questions and Correct Verified
Answers
what conditions could you diagnose with a lumbar puncture?


✓ viral, bacterial, fungal meningitis, encephalitis, metabolic processes,
inflammatory processes (MS, GBS), variety of oncologic procedures




To administer anesthesia after a lumbar puncture, what two drugs could be used?


✓ narcotics, bupivocaine




if a patient has ventriculitis or meningitis, what could be a therapeutic indication for a

lumbar puncture?


✓ antibiotic administration of vancomycin, gentamycin




if a patient has leukemia or lymphoma, what would a therapeutic indication for lumbar

puncture be?


✓ administration of methotrexate or chemotherapy




what type of patients should avoid lumbar punctures?




Top Mark !!!

, Top Mark Questions and Correct Verified Answers

✓ patients who are cardirespiratory compromised, patients with cerebral
herniation/increased ICP and focal neurologic signs, coagulopathy increases risk
of hematoma




what size needle should be used for a lumbar puncture and why?


✓ 22-gauge, 3.5in (8.9cm) because smaller hole decreases risk of CSF leakage




what position should patient assume for lumbar puncture?


✓ lateral recumbent is preferred but sitting is also acceptable




why is the lateral recumbent position preferred?


✓ to reduce risk of post-puncture headache and to obtain an accurate opening
pressure




once patient is in correct position, what should you instruct the patient to do?


✓ to adopt the fetal position or arch back like a cat to widen the gap between
spinous processes




where should a needle be inserted for lumbar puncture?


✓ between L3--L4, or L4-L5 because these points are below termination of spinal
cord




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