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학습 자료 둘러보기 →The surgical site creates a direct path between the sterile intracranial space and the non-sterile nasopharynx. The priority is preventing meningitis by detecting a CSF leak early. Maintain the head of bed at 30 degrees to promote venous drainage and dural healing.
Assess for clear, colorless nasal drainage. Check for the halo sign on gauze or test drainage for glucose. A positive result indicates a structural breach requiring immediate intervention.
Instruct the patient to avoid coughing, sneezing, nose-blowing, and bending over. These actions increase intracranial pressure and can disrupt the surgical site, precipitating a leak. Use stool softeners to prevent straining.
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