Which is a contraindication to performing a myelogram?

Which is a contraindication to performing a myelogram?

What are the relative contraindications for a myelogram? Pregnancy. Uncooperative patient. Connective tissue disorder (such as Marfan’s and Ehlers-Danlos syndromes).

What is contraindicated myelography?

Myelography may be contraindicated in patients with bleeding disorders, active infection, or allergy to x-ray dye.

What should you not do before a myelogram?

Do not eat or drink anything 6 hours prior to the exam. Medications may be taken with a small amount of water. Outpatients, please arrive 60 minutes before the scheduled exam time. The technologist will verify your identification and exam requested.

What should I avoid before a lumbar puncture?

However, on the day of the procedure, do not eat for three hours before the procedure. You may have liquids and can take your usual medications unless previously advised to hold certain medications in preparation for the lumbar puncture.

Can I take Tylenol after myelogram?

You may get a headache after your myelogram. Sometimes this headache may make you feel nauseous (feeling like you might throw up). If you do get a headache, you can try the following things: Take an over-the-counter pain medication such as acetaminophen (Tylenol®).

Can you take ibuprofen before a myelogram?

You may take all your medications, except you must not take aspirin, ibuprofen or Vitamin E 10 days prior to the procedure. Blood thinners, such as coumadin, should be stopped five days prior to the procedure. Other pain medications may be taken up to four hours prior to the procedure.

When is a lumbar puncture contraindicated?

Absolute contraindications for performing a LP include infected skin over the puncture site, increased intracranial pressure (ICP) from any space-occupying lesion (mass, abscess), and trauma or mass to lumbar vertebrae.

Can you take Tylenol before a lumbar puncture?

You can take over-the-counter pain medication for the headache, such as acetaminophen (Tylenol®) or ibuprofen (Advil®).

Do antibiotics affect CT scans?

Antibiotic treatment appears to have no clinically significant impact on the diagnostic accuracy of FDG PET/CT performed for the assessment of known or suspected infectious processes.

Can I take Tylenol before a CT scan with contrast?

If that could cause you discomfort, you may take an over-the-counter pain reliever, such as ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) before the procedure begins.

Why is a lumbar puncture contraindicated when there is concern for increased intracranial pressure?

Patients with increased ICP from mass lesions often display decreased levels of consciousness, focal neurological signs or papilledema on physical exam. Any of these findings make lumbar puncture contraindicated until further evaluation can be undertaken.

Is aspirin a contraindication for lumbar puncture?

Antiplatelet therapy with aspirin and nonsteroidal antiinflammatory agents is not clearly associated with an increased risk of bleeding after LP. The bleeding risk associated with other antiplatelet agents is unknown. It is reasonable to suspend therapy with these agents, when possible, prior to elective LP.

Which medications may increase the risk of bleeding during a lumbar puncture?

Some medications may increase the risk of bleeding after your procedure. Please check with your doctor about possibly holding medications such as aspirin, Coumadin (warfarin), Ticlid, Pletal, Aggrenox, Plavix and NSAIDS such as naproxen and ibuprofen, before your procedure.

Can I take ibuprofen before lumbar puncture?

Stop taking Aspirin or aspirin-containing products at least 5 days prior to the procedure. If you are taking other blood thinning medications (Plavix, Coumadin or warfarin, Lovenox, non-steroidal anti-inflammatory agents such as Motrin®, Ibuprofen), contact your doctor to discuss.

What can go wrong with a myelogram?

A myelogram may increase your risk for a headache, neck or back pain, nausea, or vomiting. You may have bleeding or spinal fluid may leak from the injection site. The procedure may cause injury to a disc, nerves, or your spinal cord. The dye used during the procedure may cause and allergy, seizure, or brain problems.

Which of the following is most serious complication of myelography?

The risks of myelography are directly related to the lumbar puncture (LP) and injection including positional headache, contrast-related seizure, and infection. The most common of these complications is the post-LP positional headache.

Can I take Tylenol after a CT scan with contrast?

Acetaminophen, ibuprofen, or aspirin may be taken for discomfort. You should use hot compresses and elevate the extravasated area. If symptoms persist more than 48 hours after procedure then contact your ordering provider’s office or the Outpatient Diagnostic Center.

What are contraindications for lumbar puncture?

  • September 19, 2022