Post Lumbar Puncture Headache


Diagnosis

Pathophysiology

Acute Treatment

  1. Lying recumbent as much as possible
  2. Oral/IV hydration
  3. Analgesics (NSAIDs, acetaminophen, opioids)
  4. Caffeine 500 mg IV
  5. Epidural Blood Patch (immediate relief):

Disposition

  1. D/C home w/ encouragement to drink a lot of fluids (esp. caffeinated beverages) & to lie flat as much as possible