csf collection…

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what the risks are csf chemistry, lumbar vertebrae, spinal tap, ventricular puncture, lumbar puncture, cisternal puncture, cerebral spinal fluid culture, cerebral spinal fluid, csf, collection, test to sample, measure pressure in the fluid that surrounds the brain, spinal cord, cerebral spinal fluid acts like a cushion, protecting the brain, spine from injury, fluid, csf culture, different ways to get a sample of spinal fluid, lumbar puncture, commonly, a spinal tap, is the most common method, test, performed, in the following manner, patient must lay on side, the knees pulled up toward the chest, chin tucked downward, the test is done with the person sitting up, bent over, after the back is cleaned, inject a local numbing medicine, anesthetic, lower spine, a spinal needle is inserted, usually between the 3rd, 4th lumbar vertebrae, once the needle is properly positioned, spinal fluid pressure is measured, fluid is collected, needle is removed, area is cleaned, a bandage, over the needle site, patient will need to remain flat, 20 minutes to 1 hour, lumbar puncture, fluid collection, part of other procedures, particularly a myelogram, x-ray, ct scan after dye has been inserted, csf, alternative methods of csf collection, rarely used, be necessary in, in the event of a back deformity, infection, cisternal puncture uses a needle placed below the occipital bone, the skull, be dangerous, it is so close, brain stem, ventricular puncture is more rare, possible brain herniation, test, in the operating room, a hole is drilled, in the skull, a needle is inserted directly into one of brain's ventricles, patient, guardian, must sign a consent, patient must remain, in the hospital, at least several hours, observation, position uncomfortable, imperative that the patient stays in the bended position to avoid moving the needle, possibly injuring the spinal cord, anesthetic, sting, burn, first injected, a hard pressure sensation, the needle is inserted, some brief pain, the needle goes, the tissue surrounding the spinal cord, meninges, pain should stop, few seconds, discomfort is minimal to moderate, entire procedure, takes, 30 minutes, take longer, actual pressure measurements, fluid collection only take a few minutes, this test, measure pressures, the cerebrospinal fluid, to collect a sample, the fluid, further testing, csf, diagnose certain neurologic disorders, particularly infections, menigitis) and brain, spinal cord damage, csf coccidioides complement fixation, csf oligoclonal banding , csf smear, csf vdrl test , pressure, 180 mm h20, appearance, colorless, csf total protein, 45 mg/100 ml, gamma globulin, 12%, the total protein, csf glucose, 80 mg/100 ml, 2/3 of serum glucose level, csf cell count, 0, 5 white blood cells, wbc, no red blood cells, rbc, chloride, 110, 125 meq per liter, mg/ml = milligrams per milliliter, meq/l = milliequivalent per liter, pressure, increased intracranial pressure, pressure, the skull, from trauma, infection, pressure, decreased, obstruction, flow of csf, above the puncture site, spinal cord tumor, shock, fainting, diabetic coma, appearance, cloudy, infection, white blood cells, in the csf, protein, in the csf, microorganisms, bloody, reddish colored, bleeding, the brain, subarachnoid space, spinal cord obstruction, traumatic lumbar puncture, first specimen bloody, rest clear, brown, orange, yellow color, elevated protein, in the csf, old, greater than 3 days, blood, in the csf, protein, blood, in the csf, diabetes, polyneuritis, tumors, trauma, inflammatory, infectious condition, protein, decreased, rapid csf production, gamma globulin, demyelinating disease multiple sclerosis, neurosyphilis, guillain-barre syndrome, glucose, systemic hyperglycemia, elevated blood sugar, glucose, decreased, systemic hypoglycemia, low blood sugar, bacterial, fungal infection, meningitis, tuberculosis, carcinomatous meningitis, wbc, active meningitis, acute infection, beginning of a chronic illness, tumor, abscess, brain infarction, stroke, demyelinating disease, multiple sclerosis, rbc, bleeding, spinal fluid, traumatic lumbar puncture, additional conditions under which the test performed, chronic inflammatory polyneuropathy, dementia, due to metabolic causes, encephalitis, epilepsy, febrile seizure, children, generalized tonic-clonic seizure, hydrocephalus, inhalation anthrax, normal pressure hydrocephalus, nph, pituitary tumor, reye's syndrome, risks of lumbar puncture, hypersensitivity, allergic, reaction, anesthetic, discomfort, headache, bleeding, spinal canal, brain herniation, performed on a person, increased intracranial pressure, resulting in brain damage, death, spinal cord, particularly person moves, cisternal puncture, ventricular puncture carry additional risk of damage, brainstem, brain tissue, risk of bleeding, the brain, resulting in incapacitation, death, this test should not be performed on people who, have increased intracranial pressure, nathan, br, cerebrospinal fluid, intracranial pressure, goetz, cg, ed, textbook of clinical neurology, philadelphia, pa, wb saunders company, 511-524.