COMPLICATIONS Long lasting discomfort at the biopsy site Fever na Infection Yi, egBone marrow is the spongy, fatty tissue found inside the body's larger bones. It has liquid and solid parts. Bone marrow makes these types of blood cells: * Red blood cells carry oxygen to all parts of the body. * White blood cells help the body fight infection and disease. » Platelets help the blood clot and control bleeding. Sometimes doctors need to see how well these cells develop and work. To do this, they may recommend a bone marrow aspiration and/or a bone marrow biopsy. These procedures collect a sample of bone marrow.DEFINITION Bone marrow aspiration is a procedure that involves taking a small amount of liquid bone marrow through a needle. Bone marrow biopsy is is a procedure that involves taking a sample of solid bone marrow tissue using a special needle. fsby subscribing @ YELLOWPAGES NURSING @ESB YouTubeINDICATIONS For diagnosis/staging of diseases/ response of treatment: Leukemia Multiple myeloma Lymphoma, Anemia, Theouiboestopeiia'& Pancytopenia To monitor the development of hemolytic disease and respond towards the treatment given. Haematological disorder Fever Unknown Origin Lymphadenopathy Metastatic tumour Disseminated Tuberculosis c Follow usby subscribing @ YELLOWPAGESNURSING ES YouTubeContra Indicatio: + Hemorrhagic disorders such as congenital coagulation factor deficiencies (eg, hemophilia). Disseminated intravascular coagulation. Allergic reaction to anesthesia. Skin Infection at the sampling site. Bone disorders such as osteomyelitis or osteogenesis imperfecta. Follow us by subscribing @ YELLOWPAGESNURSINS @ESB YouTubeARTICLES BMA tray BMA Needle -jamshidi needle Sterile gloves Surgical gown Face mask Aspiration needle Povidone solution Injection Lignocaine Syringes 20 ml -2 No’s,10mI-2 No’s,3mI-1 No *Needle 18 G-2No’s *Heparin saline *Dynaplast +Heparin vacutainer (Green) *Gauze piece “Surgical blade icro pore *Formalin *Glass slideSite & Position + Position of the patient depends upon which bones are used to” obtain bone marrow samples. In adults Iliac crest : * Posterior Superior iliac crest + Anterior Superior iliac crest Breast bone or Sternum Pediatric + Tibia Crest ( babies below 1 year)NURSES RESPONSIBILITIES - BEFORE THE PROCEDURES, + Ensure that the consent for the procedure is obtained. + Ask the client to void. S * Cheek the vital signs. Position the patient. Check the cogulation profile. + Inform laboratory technician (because bone marrow is smeared immediately on a slide) Perform Hand hygiene and wear appropriate PPE+ Assist the doctor in Injecting local anesthetic to numb it and increase patient comfort during the biopsy. A small incision is performed over the intended biopsy site. A bone marrow aspiration needle is placed in incision site and the surgeon uses a syringe to withdraw a small amount of liquid bone marrow cells through the needle Follow usby subscribing @ YELLOWPAGESNURSINS @ES YouTubePROCEDURE + Using a specialized hollow needle, a bone marrow core is removed. Once the core bone marrow sample is withdrawn, apply pressure at the biopsy site with gauze to stop bleeding; this usually takes around five to ten minutes. Asterile dressing or dynaplast is applied to the biopsy incision site. Follow us by subscribing @ YELLOWPAGESNURSINS @ESB YouTubeNURSES RESPONSIBILITIES +4 AFTER THE PROCEDURE + Apply sterile dressing over the puncture site * Place the patient in appropriate position * Observe the site for bleeding * Monitor the vital signs * Documentation of the procedure and patient comfort level ° Make sure the sample are sent to laboratories * Proper disposal of biomedical waste * Replace the articles Instruct the patient not to do heavy act