How do you handle patients who require emergency lumbar puncture?

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Sample interview questions: How do you handle patients who require emergency lumbar puncture?

Sample answer:

How to Handle Patients Requiring Emergency Lumbar Puncture

  • Obtain informed consent:

    • Explain the procedure and its risks and benefits to the patient or their legal representative.
    • Obtain written consent if the patient is competent.
  • Positioning and preparation:

    • Place the patient in a lateral or prone position with their head flexed and their knees drawn up to their chest.
    • Ensure the patient’s comfort and dignity.
    • Sterilize the puncture site with an antiseptic solution.
  • Procedure:

    • Insert a spinal needle into the spinal canal at the L3-L4 or L4-L5 intervertebral space.
    • Advance the needle slowly while aspirating gently.
    • Collect cerebrospinal fluid (CSF) into sterile vials.
    • Withdraw the needle and apply pressure to the puncture site.
  • Post-procedure care:

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