By Haim Brezis
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INTRATEST: ➧ If the patient has a history of allergic reaction to latex, avoid the use of equipment containing latex. ➧ Instruct the patient to cooperate fully and to follow directions. Direct the patient to breathe normally and to avoid unnecessary movement. ➧ Observe standard precautions, and follow the general guidelines in Appendix A. Positively identify the patient, and label the appropriate tubes with the corresponding patient demographics, date, and time of collection. Perform a venipuncture.
Inform the patient that the position required for the lumbar puncture may be awkward but that someone will assist. Stress the importance of remaining still and breathing normally throughout the procedure. ➧ Sensitivity to social and cultural issues, as well as concern for modesty, is important in providing psychological support before, during, and after the procedure. ➧ There are no food, fluid, or medication restrictions unless by medical direction. ➧ Make sure a written and informed consent has been signed prior to the procedure and before administering any medications.
Com A 26 A Davis’s Comprehensive Laboratory and Diagnostic Handbook—with Nursing Implications patient to breathe normally and to avoid unnecessary movement. ➧ Observe standard precautions, and follow the general guidelines in Appendix A. Positively identify the patient, and label the appropriate tubes with the corresponding patient demographics, date, and time of collection. Perform a venipuncture. ➧ Remove the needle and apply direct pressure with dry gauze to stop bleeding. Observe venipuncture site for bleeding and hematoma formation and secure gauze with adhesive bandage.