Lumbar puncutre Flashcards
(43 cards)
ph of csf
7.33 - 7.35
function of csf
shock absober for cns
immunologicla funciton
where is csf mainly produced
95% in laterl venticle
4th ventilce
what produces csf
choroid plexus
what is the ammmoujt of csf produced in 24 hours
450 - 750 mls/ 24 hours
how much csf is proudced by new borns and peads each day
25 mls new born
125 peads
what is the csf turn over
3 times per day
what is the volume of csf in adults
150 mls
what is the pressure in cm of csf
less than 15 with a mean of 10 , and between 9 - 12 in peads
how is csf absobped
by arachnoid villi projectsion of the aracnoid memnare into the dural sinsus to allow csf to pass form th subarachnoid space in to the venous system
what is the osmolatir of csf and how does it compare to plasma
it is the same as plasma - 295
what cells are not prenst in csf that re in blood
rbc, neutrophils, eosinophils, basophils, and mast cells. P
what is lower in csf compared to plasm
potasium, calcium , glucoise , proteing (signifcanlty) , albumin (signficialty) , Igg (signficilay)
what is higher in csf compared to plasma
clorine, lactose and water
what cells are seen in bacterial csf infection
leurkocytes, nurepils, low gluose, hihg protines, high opening pressure
what is seen in viral csf infection
slightly elevated opening pressure
slightl high leukocytes
if early - nerutropils, if late lymphocytic
low glucose
high protein
what is seen in fungal csf infection
high opeing pressure
mid leukocytes
lymphhoctyes
low glucose
hgigh protien
postive to cultures
what is seen in tb infection
fibrin web appareach
different opening pressure
hihg lymhoctyes,
lympocytes high
low glucose
very high proin
positive for afb
what is seen in autimmine infection of csf
clear liquid
normal opeingi pruss
raided lueckiphyils
lymphocytes
normal glucose
high protein
negative to cultrues
what to check before lumbar pucutes
any anticogaulatis and check coagulation
look for previous surgyes
look for brain tumour - which could lead to a death if tapped
congetila abnomaleis
what are the congential abnoralies that a spinal tap should be avoided
chiari malforamtion, bifida
what posistion should someone be in for lumbar punctture
lateral decubitus
what is the level of lumbar punctre in adults/ childnr
adults - l3, or opposite supperio illiac spine
child below l4
conuc medual end point adults and childern
adults - l1/l2
child - l2/l3