flip until indications item select indications icon launch icon below other names spinal item
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"com.kmcpesh.medicalskillsproceduresfree", "enabled": true, "bounds": [35, 280, 1405, 102], "pressed": "not_pressed", "scrollable-vertical": false}, {"text": "Other names Spinal puncture, Thecal puncture, Rachiocentesis, Spinal tap, Ventricular puncture, Cisternal puncture, Cerebrospinal fluid culture.\n\nLumbar puncture (spinal tap) is performed in your lower back, in the lumbar region. During lumbar puncture, a needle is inserted between two lumbar bones (vertebrae) to remove a sample of cerebrospinal fluid \u2014 the fluid that surrounds your brain and spinal cord to protect them from injury.", "resource-id": "com.kmcpesh.medicalskillsproceduresfree:id/introduction_text", "adapter-view": false, "pointer": "e10cd7f", "scrollable-horizontal": false, "ancestors": ["android.widget.TextView", "android.view.View", "java.lang.Object"], "selected": false, "content-desc": [null], "rel-bounds": [35, 244, 1369, 1132], "draw": false, "focusable": true, "long-clickable": true, "visibility": "visible", "focused": false, "clickable": true, "abs-pos": true, "font-family": "sans-serif", "class": "android.support.v7.widget.AppCompatTextView", "visible-to-user": true, "package": "com.kmcpesh.medicalskillsproceduresfree", "enabled": true, "bounds": [53, 280, 1387, 1043], "pressed": "not_pressed", "scrollable-vertical": false}], "adapter-view": false, "abs-pos": true, "pointer": "2e93320", "class": "android.widget.LinearLayout", "visible-to-user": true}, {"scrollable-horizontal": false, "draw": true, "ancestors": ["android.view.ViewGroup", "android.view.View", "java.lang.Object"], "clickable": false, "pressed": "not_pressed", "focusable": false, "long-clickable": false, "enabled": true, "bounds": [18, 1148, 1422, 2182], "visibility": "visible", "content-desc": [null], "rel-bounds": [0, 1272, 1404, 2912], "focused": false, "selected": false, "scrollable-vertical": false, "children": [{"text": "Indications", "scrollable-vertical": false, "adapter-view": false, "pointer": "cbcc595", "scrollable-horizontal": false, "ancestors": ["android.widget.TextView", "android.view.View", "java.lang.Object"], "selected": false, "content-desc": [null], "rel-bounds": [17, 52, 1387, 137], "draw": false, "focusable": true, "long-clickable": true, "visibility": "visible", "focused": false, "clickable": true, "abs-pos": true, "font-family": "sans-serif", "class": "android.support.v7.widget.AppCompatTextView", "visible-to-user": true, "enabled": true, "bounds": [35, 1200, 1405, 1285], "pressed": "not_pressed"}, {"scrollable-horizontal": false, "draw": false, "ancestors": ["java.lang.Object"], "clickable": false, "pressed": "not_pressed", "focusable": false, "long-clickable": false, "enabled": true, "bounds": [35, 1338, 1405, 1339], "visibility": "visible", "content-desc": [null], "rel-bounds": [17, 190, 1387, 191], "focused": false, "selected": false, "scrollable-vertical": false, "adapter-view": false, "abs-pos": true, "pointer": "6d1b6aa", "class": "android.view.View", "visible-to-user": true}, {"text": "Diagnostic\n\u25cf Meningitis (bacterial, fungal, tuberculous, viral, carcinomatosis, lymphomatosis or aseptic)\n\u25cf Early subarachnoid hemorrhage\n\u25cf Pseudotumor cerebri\n\u25cf Multiple Sclerosis\n\u25cf Guillain-Barre Syndrome\n\u25cf Possible Lupus Cerebritis, Cns Vasculitis, Acute demylinating disorders\n\nTherapeutic\n\u25cf Spinal anesthesia\n\u25cf Treatment of Pseudotumor Cerebri\n\u25cf Intrathecal administration of chemotherapy\n\u25cf Intrathecal administration of antibiotics\n\u25cf Injection of contrast media for myelography or for cisternography", "scrollable-vertical": false, "adapter-view": false, "pointer": "e6ec29b", "scrollable-horizontal": false, "ancestors": ["android.widget.TextView", "android.view.View", "java.lang.Object"], "selected": false, "content-desc": [null], "rel-bounds": [35, 244, 1369, 1570], "draw": false, "focusable": true, "long-clickable": true, "visibility": "visible", "focused": false, "clickable": true, "abs-pos": true, "font-family": "sans-serif", "class": "android.support.v7.widget.AppCompatTextView", "visible-to-user": true, "enabled": true, "bounds": [53, 1392, 1387, 2182], "pressed": "not_pressed"}], "adapter-view": false, "abs-pos": true, "pointer": "afe614c", "class": "android.widget.LinearLayout", "visible-to-user": true}, {"scrollable-horizontal": false, "draw": true, "ancestors": ["android.view.ViewGroup", "android.view.View", "java.lang.Object"], "clickable": false, "pressed": "not_pressed", "focusable": false, "long-clickable": false, "enabled": true, "bounds": [18, 2823, 1422, 2182], "visibility": "visible", "content-desc": [null], "rel-bounds": [0, 2947, 1404, 4295], "focused": false, "selected": false, "scrollable-vertical": false, "children": [{"text": "Equipments", "scrollable-vertical": false, "adapter-view": false, "pointer": "c712611", "scrollable-horizontal": false, "ancestors": ["android.widget.TextView", "android.view.View", "java.lang.Object"], "selected": false, "content-desc": [null], "rel-bounds": [17, 52, 1387, 137], "draw": false, "focusable": true, "long-clickable": true, "visibility": "visible", "focused": false, "clickable": true, "abs-pos": true, "font-family": "sans-serif", "class": "android.support.v7.widget.AppCompatTextView", "visible-to-user": false, "enabled": true, "bounds": [35, 2875, 1405, 2182], "pressed": "not_pressed"}, {"scrollable-horizontal": false, "draw": false, "ancestors": ["java.lang.Object"], "clickable": false, "pressed": "not_pressed", "focusable": false, "long-clickable": false, "enabled": true, "bounds": [35, 3013, 1405, 2182], "visibility": "visible", "content-desc": [null], "rel-bounds": [17, 190, 1387, 191], "focused": false, "selected": false, "scrollable-vertical": false, "adapter-view": false, "abs-pos": true, "pointer": "7ec9376", "class": "android.view.View", "visible-to-user": false}, {"text": "\u25cf Sterile gloves & gown\n\u25cf 1% lidocain solution\n\u25cf 22G or 25G needle\n\u25cf 5ml disposable syringe\n\u25cf Povidone-iodine prep\n\u25cf Sterile drape\n\u25cf Spinal needle with Stylet\n 22G, 3.5 inch spinal needle for adults\n 22G, 2.5 inch spinal needle for children\n 22G, 1.5 inch spinal needle for infants and new borns\n\u25cf Manometer with 3-way stopcock\n\u25cf 4 labeled sterile specimen containers\n\u25cf Sterile bandage", "scrollable-vertical": false, "adapter-view": false, "pointer": "7eced77", "scrollable-horizontal": false, "ancestors": ["android.widget.TextView", "android.view.View", "java.lang.Object"], "selected": false, "content-desc": [null], "rel-bounds": [35, 244, 1369, 1278], "draw": false, "focusable": true, "long-clickable": true, "visibility": "visible", "focused": false, "clickable": true, "abs-pos": true, "font-family": "sans-serif", "class": "android.support.v7.widget.AppCompatTextView", "visible-to-user": false, "enabled": true, "bounds": [53, 3067, 1387, 2182], "pressed": "not_pressed"}], "adapter-view": false, "abs-pos": true, "pointer": "3564638", "class": "android.widget.LinearLayout", "visible-to-user": false}, {"scrollable-horizontal": false, "draw": true, "ancestors": ["android.view.ViewGroup", "android.view.View", "java.lang.Object"], "clickable": false, "pressed": "not_pressed", "focusable": false, "long-clickable": false, "enabled": true, "bounds": [18, 4206, 1422, 2182], "visibility": "visible", "content-desc": [null], "rel-bounds": [0, 4330, 1404, 6773], "focused": false, "selected": false, "scrollable-vertical": false, "children": [{"text": "Procedure", "scrollable-vertical": false, "adapter-view": false, "pointer": "e31124d", "scrollable-horizontal": false, "ancestors": ["android.widget.TextView", "android.view.View", "java.lang.Object"], "selected": false, "content-desc": [null], "rel-bounds": [17, 52, 1387, 137], "draw": false, "focusable": true, "long-clickable": true, "visibility": "visible", "focused": false, "clickable": true, "abs-pos": true, "font-family": "sans-serif", "class": "android.support.v7.widget.AppCompatTextView", "visible-to-user": false, "enabled": true, "bounds": [35, 4258, 1405, 2182], "pressed": "not_pressed"}, {"scrollable-horizontal": false, "draw": false, "ancestors": ["java.lang.Object"], "clickable": false, "pressed": "not_pressed", "focusable": false, "long-clickable": false, "enabled": true, "bounds": [35, 4396, 1405, 2182], "visibility": "visible", "content-desc": [null], "rel-bounds": [17, 190, 1387, 191], "focused": false, "selected": false, "scrollable-vertical": false, "adapter-view": false, "abs-pos": true, "pointer": "3067102", "class": "android.view.View", "visible-to-user": false}, {"text": "\u25cf first the patient is usually placed in a left (or right) lateral position with their neck bent in full flexion and knees bent in full flexion up to their chest or sitting up postion.\n\u25cf Draw an imaginary line between the top of the iliac crests. This intersects the spine at approximately the L3-4 interspace (mark this if necessary).\n\u25cf Wash hands and aseptically put on sterile gloves.\n\u25cf Prepare the skin with povidone-iodine or chlorhexidine and set up sterile drapes.\n\u25cf Allow adequate time for the skin preparation to dry.\n\u25cf Take the tops off the tubes, ensuring that they remain sterile.\n\u25cf Infiltrate the skin with 1% lignocaine using a 22G needle.\n\u25cf Withdraw stylet and check for fluid return.\n\u25cf Attach end of stopcock with manometer to read the opening pressure (opening pressure can only be checked in lateral decubitus position).\n\u25cf Collect 1-2 ml of CSF in each of the four labeled sterile tubes.\n\u25cf Replace the stylet and withdraw the spinal needle.\n\u25cf Clean off povidone-iodine prop solution.\n\u25cf Apply a sterile band air over the puncture site.", "scrollable-vertical": false, "adapter-view": false, "pointer": "9b8ea13", "scrollable-horizontal": false, "ancestors": 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"scrollable-vertical": false, "children": [{"text": "Contraindications", "scrollable-vertical": false, "adapter-view": false, "pointer": "3898649", "scrollable-horizontal": false, "ancestors": ["android.widget.TextView", "android.view.View", "java.lang.Object"], "selected": false, "content-desc": [null], "rel-bounds": [17, 52, 1387, 137], "draw": false, "focusable": true, "long-clickable": true, "visibility": "visible", "focused": false, "clickable": true, "abs-pos": true, "font-family": "sans-serif", "class": "android.support.v7.widget.AppCompatTextView", "visible-to-user": false, "enabled": true, "bounds": [35, 6736, 1405, 2182], "pressed": "not_pressed"}, {"scrollable-horizontal": false, "draw": false, "ancestors": ["java.lang.Object"], "clickable": false, "pressed": "not_pressed", "focusable": false, "long-clickable": false, "enabled": true, "bounds": [35, 6874, 1405, 2182], "visibility": "visible", "content-desc": [null], "rel-bounds": [17, 190, 1387, 191], "focused": false, "selected": false, "scrollable-vertical": false, "adapter-view": false, "abs-pos": true, "pointer": "dee9b4e", "class": "android.view.View", "visible-to-user": false}, {"text": "\u25cf Possible raised intracranial pressure\n\u25cf Thrombocytopenia or other bleeding diathesis (including ongoing anticoagulant therapy)\n\u25cf Suspected spinal epidural abscess\n\u25cf Brain abscess", "scrollable-vertical": false, "adapter-view": false, "pointer": "e3e146f", "scrollable-horizontal": false, "ancestors": ["android.widget.TextView", "android.view.View", "java.lang.Object"], "selected": false, "content-desc": [null], "rel-bounds": [35, 244, 1369, 694], "draw": false, "focusable": true, "long-clickable": true, "visibility": "visible", "focused": false, "clickable": true, "abs-pos": true, "font-family": "sans-serif", "class": "android.support.v7.widget.AppCompatTextView", "visible-to-user": false, "enabled": true, "bounds": [53, 6928, 1387, 2182], "pressed": "not_pressed"}], "adapter-view": false, "abs-pos": true, "pointer": "8bfa450", "class": "android.widget.LinearLayout", "visible-to-user": false}, {"scrollable-horizontal": false, "draw": true, "ancestors": ["android.view.ViewGroup", "android.view.View", "java.lang.Object"], "clickable": false, "pressed": "not_pressed", "focusable": false, "long-clickable": false, "enabled": true, "bounds": [18, 7483, 1422, 2182], "visibility": "visible", "content-desc": [null], "rel-bounds": [0, 7607, 1404, 8590], "focused": false, "selected": false, "scrollable-vertical": false, "children": [{"text": "Complications", "scrollable-vertical": false, "adapter-view": false, "pointer": "fdb3e05", "scrollable-horizontal": false, "ancestors": ["android.widget.TextView", "android.view.View", "java.lang.Object"], "selected": false, "content-desc": [null], "rel-bounds": [17, 52, 1387, 137], "draw": false, "focusable": true, "long-clickable": true, "visibility": "visible", "focused": false, "clickable": true, "abs-pos": true, "font-family": 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