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Lumbar puncture: Caring for your child at home after the procedureLLumbar puncture: Caring for your child at home after the procedureLumbar puncture: Caring for your child at home after the procedureEnglishOtherChild (0-12 years);Teen (13-18 years)SpineSpinal CordNon-drug treatmentCaregivers Adult (19+)NA2013-03-28T04:00:00ZJoao Amaral, MD;Derek Armstrong, MD;Candice Sockett, RN(EC), MN:APN9.0000000000000061.0000000000000452.000000000000Health (A-Z) - ProcedureHealth A-Z<p>This brochure is a guide on how to care for your child at home after a lumbar puncture.</p><p>Your child has had a lumbar puncture. The brochure explains how to look after your child at home after the procedure, and when to call for help. </p><h2>Key points </h2> <ul> <li>If your child has a fever over 38°C (100.4°F), numbness, vomiting or headaches, call their doctor or go to the nearest Emergency Department. </li> <li>Remove your child's bandage after 24 hours. </li> <li>Give your child acetaminophen for headaches or pain.</li> <li>Your child should avoid any physical activity for two days after the lumbar puncture.</li> <li>If you have concerns and it is after working hours, see your family doctor or go to the nearest Emergency Department or call the Hospital for Sick Children switchboard at (416) 813-1500 and ask them to page your specialist. </li> </ul><h2>When to see a doctor</h2> <p>Phone your specialist or Image Guided Therapy (IGT), or go to the nearest Emergency Department right away if your child has any of the following: </p> <ul> <li><a href="/Article?contentid=30&language=English">fever</a> greater than 38°C (100.4°F) </li> <li><a href="/Article?contentid=29&language=English">headache</a> that persists more than a few hours after the procedure or that occurs when they change position </li> <li>numbness and tingling of the legs </li> <li>leakage at the site of the needle insertion </li> <li>change in sensation or numbness in the lower limbs </li> <li>difficulty peeing or having unexpected accidents after the procedure </li> <li>persistent vomiting immediately after getting home, or </li> <li><a href="/Article?contentid=746&language=English">vomiting</a> and nausea that continues 48 hours after the procedure </li> </ul> <p>Be sure to let the Emergency Department staff know that your child had a lumbar puncture. </p><h2>At SickKids</h2> <p>If you have any concerns in the first 48 hours, call the IGT clinic during working hours at (416) 813-6054 and ask to speak to an IGT nurse. After 48 hours, please call your referring doctor. If you have concerns and it is after working hours, see your family doctor or go to the nearest Emergency Department or call the Hospital for Sick Children switchboard at (416) 813-1500 and ask them to page the interventional radiologist on call. </p>
Ponction lombaire : Prendre soin de votre enfant à la maison après l’interventionPPonction lombaire : Prendre soin de votre enfant à la maison après l’interventionLumbar Puncture: Caring for your child at home after the procedureFrenchOtherChild (0-12 years);Teen (13-18 years)SpineSpinal CordNon-drug treatmentCaregivers Adult (19+)NA2013-03-28T04:00:00ZJoao Amaral, MD;Derek Armstrong, MD;Candice Sockett, RN(EC), MN:APNHealth (A-Z) - ProcedureHealth A-Z<p>Ce guide pratique explique comment prendre soin de votre enfant à la maison après une ponction lombaire.<br></p><p>Votre enfant a subi une ponction lombaire. Ce dépliant explique comment prendre soin de votre enfant à la maison après l’intervention et quand demander de l’aide.</p><h2>À retenir</h2><ul><li>Si votre enfant a une fièvre de plus de 38 °C (100,4 °F), un engourdissement, des vomissements ou des maux de tête, appelez son médecin ou rendez-vous au service d’urgence le plus proche.</li><li>Retirez le pansement de votre enfant après 24 heures.</li><li>Donnez de l’acétaminophène (Tylenol<sup>MD</sup>) ou de l’ibuprofène​ (Advil<sup>MD</sup> ou Motrin<sup>MD</sup>) à votre enfant pour les maux de tête ou la douleur.</li><li>Votre enfant devrait éviter toute activité physique pendant deux jours après la ponction lombaire.</li><li>Si vous avez des inquiétudes après les heures ouvrables, consultez votre médecin de famille, rendez-vous au service d’urgence le plus proche ou appelez le standard de l’Hôpital pour enfants malades au 416 813-1500 et demandez-leur d’envoyer un message par téléavertisseur à votre spécialiste.</li></ul><h2>Quand consulter le médecin</h2><p>Communiquez avec votre médecin ou le centre de therapie guidée par l'image (TGI), ou rendez-vous au service d’urgence le plus proche immédiatement si votre enfant présente un des symptômes suivants :</p><ul><li>une <a href="/Article?contentid=30&language=French">fièvre</a> de plus de 38 °C (100,4 °F) </li><li>un <a href="/Article?contentid=29&language=French">mal de tête</a> qui persiste pendant plus de quelques heures après l’intervention ou qui survient quand votre enfant change de position </li><li>un engourdissement ou une sensation de picotement dans les jambes</li><li>un écoulement au site d’insertion de la seringue</li><li>un changement de sensation ou un engourdissement dans les membres inférieurs </li><li>de la difficulté à uriner ou des fuites urinaires après l’intervention </li><li>des <a href="/Article?contentid=746&language=French">vomissements</a> persistants une fois de retour à la maison </li><li>des nausées et des vomissements qui se poursuivent 48 heures après l’intervention </li></ul><p>Ne manquez pas de mentionner au personnel du service d’urgence que votre enfant a subi une ponction lombaire.</p><h2>À l’Hôpital SickKids :</h2><p>Si vous avez des inquiétudes dans les premières 48 heures, appelez la clinique de TGI au 416 813-6054 pendant les heures ouvrables et demandez à parler à un infirmier. Après 48 heures, communiquez avec votre médecin traitant. Si vous avez des inquiétudes après les heures ouvrables, consultez votre médecin de famille, rendez-vous au service d’urgence le plus proche ou appelez le standard de l’Hôpital pour enfants malades au 416 813-1500 et demandez-leur d’envoyer un message par téléavertisseur au radiologiste interventionnel de garde.</p>

 

 

Lumbar puncture: Caring for your child at home after the procedure1243.00000000000Lumbar puncture: Caring for your child at home after the procedureLumbar puncture: Caring for your child at home after the procedureLEnglishOtherChild (0-12 years);Teen (13-18 years)SpineSpinal CordNon-drug treatmentCaregivers Adult (19+)NA2013-03-28T04:00:00ZJoao Amaral, MD;Derek Armstrong, MD;Candice Sockett, RN(EC), MN:APN9.0000000000000061.0000000000000452.000000000000Health (A-Z) - ProcedureHealth A-Z<p>This brochure is a guide on how to care for your child at home after a lumbar puncture.</p><p>Your child has had a lumbar puncture. The brochure explains how to look after your child at home after the procedure, and when to call for help. </p><h2>Key points </h2> <ul> <li>If your child has a fever over 38°C (100.4°F), numbness, vomiting or headaches, call their doctor or go to the nearest Emergency Department. </li> <li>Remove your child's bandage after 24 hours. </li> <li>Give your child acetaminophen for headaches or pain.</li> <li>Your child should avoid any physical activity for two days after the lumbar puncture.</li> <li>If you have concerns and it is after working hours, see your family doctor or go to the nearest Emergency Department or call the Hospital for Sick Children switchboard at (416) 813-1500 and ask them to page your specialist. </li> </ul><h2>Bathing </h2> <p>Your child may have a bath or shower 24 hours after the procedure. </p> <h2>Meals </h2> <p>If your child is feeling well enough after the anaesthetic, they can return to eating what they normally eat. It is also important to encourage your child to drink plenty of fluids for 48 hours after the procedure. This will help to prevent headaches. </p> <h2>Pain relief </h2> <p>If needed, give your child <a href="/Article?contentid=62&language=English">acetaminophen</a> following the directions on the label. Do not give your child any medicines that thin the blood, such as <a href="/Article?contentid=77&language=English">acetylsalicylic acid (ASA)</a> or <a href="/Article?contentid=153&language=English">ibuprofen</a>, or blood thinners. If you are unsure, or regularly using one of these medications, check with the nurse or doctor first. </p> <h2>Activity </h2> <p>After your child is discharged home they should relax and lay flat with a pillow under their head for the first two days after the procedure. It is important that they do not bend over at all until after 48 hours. Your child may stand up for short periods of time to go to the washroom. Your child can go back to all regular activity after 48 hours. </p><h2>When to see a doctor</h2> <p>Phone your specialist or Image Guided Therapy (IGT), or go to the nearest Emergency Department right away if your child has any of the following: </p> <ul> <li><a href="/Article?contentid=30&language=English">fever</a> greater than 38°C (100.4°F) </li> <li><a href="/Article?contentid=29&language=English">headache</a> that persists more than a few hours after the procedure or that occurs when they change position </li> <li>numbness and tingling of the legs </li> <li>leakage at the site of the needle insertion </li> <li>change in sensation or numbness in the lower limbs </li> <li>difficulty peeing or having unexpected accidents after the procedure </li> <li>persistent vomiting immediately after getting home, or </li> <li><a href="/Article?contentid=746&language=English">vomiting</a> and nausea that continues 48 hours after the procedure </li> </ul> <p>Be sure to let the Emergency Department staff know that your child had a lumbar puncture. </p><h2>Results </h2> <p>Your referring doctor will receive the results of your child's biopsy. You will need to make a follow-up appointment with them to discuss the results.</p><h2>At SickKids</h2> <p>If you have any concerns in the first 48 hours, call the IGT clinic during working hours at (416) 813-6054 and ask to speak to an IGT nurse. After 48 hours, please call your referring doctor. If you have concerns and it is after working hours, see your family doctor or go to the nearest Emergency Department or call the Hospital for Sick Children switchboard at (416) 813-1500 and ask them to page the interventional radiologist on call. </p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/lumbar_puncture_caring_for_child_at_home.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/lumbar_puncture_caring_for_child_at_home.jpgLumbar puncture: Caring for your child at home after the procedure

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