Cerebral Spinal Fluid (CSF) Leakage Discussion Paper

Cerebral Spinal Fluid (CSF) Leakage Discussion Paper

Cerebral Spinal Fluid (CSF) Leakage Discussion Paper

Cerebral Spinal Fluid (CSF) Leakage Discussion Paper Sample

Cerebral Spinal Fluid (CSF) Leakage

 Cerebral Spinal Fluid Leak in Post-Operative Neurosurgical Patients

Post-operative neurosurgical patients are some of the most delicate patients and usually require high quality attentive care(Hall et al., 2019). This care is recommended so as to monitor for any complications thus speeding up the recovery period and reducing morbidity and mortality rates. One of the major complications reported post neurosurgical procedures is cerebral spinal fluid leakage.

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Signs and Symptoms of a CSF Leak

Trans sphenoidal hypophysectomy a surgical procedure that removes the pituitary gland is most likely to cause cranial cerebral spinal fluid leakage as compare to spinal CSF leaks that can be caused spinal surgical procedures. A healthcare practitioner should look out for signs and symptoms of cranial CSF leakage in this patient which include, clear watery discharge from the nose or the ear, hearingloss, metallic or salty taste, signs of meningism such as a stiff neck and a headache.

Management of a Patient with a CSF Leak

Management of CSF leaks involves surgery i.e. endoscopic endonasal repair techniques which have been shown to work in some cases. The patient can also benefit from acetazolamide a carbonic anhydrase inhibitor which will decrease production of CSF thus lowering the CSF pressure. Conservative management of the patient will include bed rest with the head elevated and increased fluid intake(Zahedi et al., 2022). An epidural blood patch can also be beneficial to this patient.

Complications from a CSF Leak

  A patient with CSF leak is likely to develop life threatening complications with meningitis being the most common and serious complication. Other complications include nerve palsy, tension pneumocephalus and brain edema.

References

Hall, A. J., Toner, N. S., & Bhatt, P. M. (2019). The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. British Journal of Neurosurgery, 33(5), 495–499. https://doi.org/10.1080/02688697.2019.1606894

Zahedi, F. D., Subramaniam, S., Kasemsiri, P., Periasamy, C., & Abdullah, B. (2022). Management of Traumatic and Non-Traumatic Cerebrospinal Fluid Rhinorrhea—Experience from Three Southeast Asian Countries. International Journal of Environmental Research and Public Health, 19(21), 13847. https://doi.org/10.3390/ijerph192113847

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please answer DQ question in full minimum 250 words not including sources thank you

You are the NP on the neurosurgical team. You are rounding on a 58-year-old patient who has undergone a TPH (trans sphenoidal hypophysectomy) for pituitary removal.

Based on the first letter of your last name, discuss the item to which you are assigned:

If your last name starts with A through M, you have concerns for diabetes insipidus (DI). Discuss DI in relation to a postoperative neurosurgical patient. What are the signs and symptoms leading to your concerns? How would you manage the patient? What further complications could be caused from DI?

If your last name starts with N through Z, you have concerns there is a cerebral spinal fluid leak. Discuss CSF leaks in relation to a postoperative neurosurgical patient. What are the signs and symptoms leading to your concerns? How would you manage the patient? What further complications could be caused from a CSF leak?

Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

Participate in follow-up discussion by reviewing the patient diagnosis discussed by classmates that is different than the one assigned to you.