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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 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.
MY LAST NAME ENDS WITH AN H
Participate in follow-up discussion by reviewing the patient diagnosis discussed by classmates that is different than the one assigned to you.

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