pre op education

mouth breath

mustache dressing

why leg incision

nasopharyngeal packing 2 days

life long hormone replacement

nose & mouth cultures

pre op general

cortisol administration

meds to shrink tumor

cultures

educate

Why do I have an incision in my leg?

Muscle graft to pack dura (covering of brain and spinal cord) and prevent CSF leak

Post op pt positioning

HOB 30 °

assits breathing & drainage

decrease graft pressure

post op oral care

Deep Mouth breath

No toothbrush

frequent oral saline rinses

toothettes

post op monitoring

Vitals Q 4-8 hrs

Neuro checks

Push fluids - prevent mucous plugs

Check for bleeding

Serum glucose

Assess Visual changes

Deep breath

CSF leak - glucose in drainage, halo sign, HA

prevent with bed rest elevate HOB

Assess for meningitis signs

I and O

Avoid activities that increase ICP

activities to avoid because increased ICP

nose blowing

cough

sneeze

straining at stool

bending over using straw

Avoid for 2 months post op

most common complication

Transient Diabetes Insipidus

-temporary ADH deficiency

Meningitis signs

Persistant HA

Neck rigidity

Fever

Administer Antibiotics