How to Give Spinal Injection

Watch a technique, how to give spinal injection.

Lumbar puncture
• Insertion of a spinal needle through the L3-L4 interspace into the lumbar subarachnoid space to obtain cerebrospinal fluid (CSF), measure CSF fluid or pressure, or instill air, dye, or medications
• The test is contraindicated in clients with increased intracranial pressure because the procedure will cause a rapid decrease in pressure in the CSF around the spinal cord, leading to brain herniation.



Preprocedure interventions

  • Obtain an informed consent.
  • Have the client empty the bladder.

Interventions during the procedure

  • Position the client in a lateral recumbent position and have the client draw the knees up to the abdomen and the chin onto the chest; the prone position may be required for radiologically guided punctures.
  • Assist with the collection of specimens (label the specimens in sequence).
  • Maintain strict asepsis.

Postprocedure interventions

  • Monitor vital signs and neurological signs to check for the presence of leakage of cerebrospinal fluid.
  • Position the client flat as prescribed.

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