Discharge And Home Healthcare Guidelines

Be sure the patient understands all medications, including dosage, route, action, and adverse effects. Explain the symptoms of a CSF leak to the patient. Instruct the patient to notify the physician of fluid drainage from the nares or down the back of the throat, increased temperature, unrelieved headaches, photophobia, nausea and vomiting, or a "stiff neck." Explain the risk for massive fluid loss through urination (diabetes insipidus) and the need to replace this fluid volume. Instruct the patient on a diet that replaces fluid and electrolytes. Instruct the patient to notify the physician of any excess urination.

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