MRCP UK EXAMINATIONS

Detailed explanation-1: -The patient is placed in the lateral recumbent position (see the image below) with the hips, knees, and chin flexed toward the chest so as to open the interlaminar spaces. A pillow may be used to support the head.

Detailed explanation-2: -The nurse should note of the following nursing interventions post-lumbar puncture: Apply brief pressure to the puncture site. Pressure will be applied to avoid bleeding, and the site is covered by a small occlusive dressing or band-aid. Place the patient flat on bed.

Detailed explanation-3: -The patient is instructed to remain in the fetal position with the neck, back, and limbs held in flexion. The lower lumbar spine should be flexed with the back perfectly perpendicular to the edge of a bed or examining table. The hips and legs should be parallel to each other and perpendicular to the table.

Detailed explanation-4: -Positioned the patient carefully, laying on one side in a curled up position with the lumbar spine exposed (knees drawn up to the chest). Moving the patient’s back closer to the edge of the bed will make access to the lumbar spine easier. Support the patient in this position throughout the procedure.

Detailed explanation-5: -The lateral decubitus position is generally preferred and should be used if CSF manometry is desired. The sitting position may be helpful for obese patients and is preferred for infants. Lateral decubitus position: The patient lies on the side in a fetal position, with the hips flexed as much as is tolerable.