acutely bring NA up to 150 until post-op with 3% infusion and 23.4% boluses. After op, continue 3% or 2% to maintain sodium within 10 of plateau, keep weaning slowly over 48 hrs post-op at which point can transition to NS Steroids Decadron 10 mg continue 8-32 mg/day posterior fossa will need slow wean over ~2 weeks
panhypopit administer steroids if bleeding into the sellar lesion
Posterior Fossa Surgery
may have delayed swelling from retraction of the cerebellum (days) causing obstruction of the 4th and resultant
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hydrocephalus. Especially if cerebellar veins were sacrificed immediate EVD, increase steroids,
Hemorrhagic Metastatic Lesions
steroids and anti-convulsants