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Using lumbar puncture to diagnose NPH

Using lumbar puncture to diagnose NPH deciphering diagnostics Using lumbar puncture to diagnose NPH By Anne Eby, RN, ONC, BSN Staff Nurse � Orthopedics and Neurology � Benefis Health Systems � Great Falls, Mont. You’re assigned to care for Mr. Simms, 83, dementia, and urinary urgency with or with- who has been admitted to your neurology out incontinence. There are many theories unit with progressive gait disturbance, mild about the development of NPH, including dementia, and urinary urgency with incon- an imbalance between CSF production and tinence. The neurosurgeon suspects a nor- absorption, gradient differences between the mal pressure hydrocephalus (NPH) and ventricles and subarachnoid space that may schedules Mr. Simms for diagnostic lumbar lead to ventriculomegaly (enlarged ventri- puncture with high-volume cerebrospinal cles), or transventricular flow resistance or fluid (CSF) drainage. In this article, we’ll re- vascular changes that result in increased view the diagnosis of NPH and the nursing pulse pressure during systole. Treatment for care for the patient receiving high-volume NPH may include ventriculoperitoneal (VP) lumbar puncture. shunt placement, depending on the patient’s response to diagnostic testing. Understanding NPH Hydrocephalus is an excess of CSF in the Diagnostic testing NPH is often misdiagnosed because its brain’s ventricles occurring when the brain’s natural http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Nursing Made Incredibly Easy! Wolters Kluwer Health

Using lumbar puncture to diagnose NPH

Eby, Anne
Nursing Made Incredibly Easy! , Volume 7 (6) – Nov 1, 2009
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Copyright
© 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1544-5186
eISSN
1552-2032
DOI
10.1097/01.NME.0000363318.63282.b0
Publisher site
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Abstract

deciphering diagnostics Using lumbar puncture to diagnose NPH By Anne Eby, RN, ONC, BSN Staff Nurse � Orthopedics and Neurology � Benefis Health Systems � Great Falls, Mont. You’re assigned to care for Mr. Simms, 83, dementia, and urinary urgency with or with- who has been admitted to your neurology out incontinence. There are many theories unit with progressive gait disturbance, mild about the development of NPH, including dementia, and urinary urgency with incon- an imbalance between CSF production and tinence. The neurosurgeon suspects a nor- absorption, gradient differences between the mal pressure hydrocephalus (NPH) and ventricles and subarachnoid space that may schedules Mr. Simms for diagnostic lumbar lead to ventriculomegaly (enlarged ventri- puncture with high-volume cerebrospinal cles), or transventricular flow resistance or fluid (CSF) drainage. In this article, we’ll re- vascular changes that result in increased view the diagnosis of NPH and the nursing pulse pressure during systole. Treatment for care for the patient receiving high-volume NPH may include ventriculoperitoneal (VP) lumbar puncture. shunt placement, depending on the patient’s response to diagnostic testing. Understanding NPH Hydrocephalus is an excess of CSF in the Diagnostic testing NPH is often misdiagnosed because its brain’s ventricles occurring when the brain’s natural

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Nursing Made Incredibly Easy! – Wolters Kluwer Health

Published: Nov 1, 2009

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