Harald Holte MD
Recently updated 01.01.0001
- A diagnostic tool for suspicion of disease in the brain or meninges.
- Intrathecal chemotherapy treatment, either as prophylaxis or for treatment of disease.
- Diagnose disease in spinal fluid.
- Treat or prevent disease and/or CNS affection.
If possible, a lumbar puncture should be avoided in cases of:
- Thrombocyte values < 30,000 (give thrombocyte transfusion first).
- For INR values > 1.8. Give Octaplas® or Konakion® first, but weigh this with risk of raised anticoagulation. The effect of Konakion® appears first the day after administration.
- Heparin combined with an antiplatelet agent such as Albyl-E®, Plavix®, Tielid®, ReoPro®, Aggrastat®. Confer with an hematologist.
- Disseminated intravascular coagulation.
- In cases where a patient is undergoing fibrinolytic treatment or where similar treatment concluded less than 2 days prior.
- Hemophilia C – confer with an hematologist.
- Full heparinization.
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