Lumbale Punctie Flashcards

1
Q

Procedure

A

Steriel. Beneden Conus Terminalis (L5/S1).
Door Dura Mater (weerstand)
Geen Traumanaald
Liefst >22G, Max 4 Puncties, tot 30 mL

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2
Q

Troebel CSV?

A

Mogelijke Bacteriele meningitis

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3
Q

Bloed?

A

Trauma LP, Subarachn bloeding.

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4
Q

Glycorachie

A

2/3 Glycemie

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5
Q

Indicaties

A

Mening/Encefalitis.
SubArchn bloeding.
MS.
Alzheimers, Creutzfeldt Jacob
Anesthesie

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6
Q

Contraindicaties

A

Massa intracraniaal (uitsluiten)
Antico’s (eventueel tijdelijk LM Heparine)
Acetylsalicylzuur + Clopidogrel (1 is ok)
INR < 1,5 en plaatjes > 40 10^9
Huidinfectie

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