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.