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
Pit Adenomas
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
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