Question

Bone marrow aspiration

what is Description of Procedure

Indications

Nursing Interventions (pre, intra, post)

Interpretation of Findings

Client Education

Potential Complications

Nursing Interventions

Answer 1

Bone marrow aspiration procedure;

These are the procedures that help to collect the spongy tissue inside the larger bones and examine it.

In bone marrow aspiration procedure, a needle is used to withdraw a sample of the fluid portion. This procedure can show whether the bone is healthy or not and whether it has normal amount of bloood cells, It is a procedure used to diagnose any diseases including cancers and fever of unknown origin.

Indications;

• Anemia
• blod cell condtions in which too few or too many types of blood cells are produced
• cancers of the blood and bone marrow
• cancers that have spread from another area into the bone marrow
• hemochromatosis
• fevers of unknown origin

Nursing interventions; pre;

• explain the procedure to the patient
• if ordered, a mild sedative can be given
• explain to the patient that it will take only 5 to 10 minutes to finish the procedure.
• a blood sample should be collected before the procedure
• should have a signed informed consent
• check the patient for hypersensitivity to the local anaesthethic
• tell the patient the exact area of aspiration.

nursing interventions ; intra;

• arrange all the necessary articles to the bedside of the patient
• help the patient to be in a comfortable possition.
• assist the doctor who is doing the procedure

nursing interventions; post

• after the procedure, provide proper pressure to the cocnerned site to prevent bleeding
• clean the biopsy site and apply sterile dressing
• monitor the patient;s vital signs
• check the biopsy site for any infections

Interpretation of findings;

• yellow marrow contains fat cells and connective tissue
• red marrow conatins hematopioetic cells, fat cells and connective tissue
• the iron satin measures hemosiderin has a +2 level
• sudan black B satin shows granulocyte is negative
• periodic acid shiff stain detects glycogen reaction is negative

client education;

client should be told that if they have any bleeding disorder, then it should be informed to the healthcare worker

complications;

• haemorrhage and infection
• puncture of the media stinum