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Neurosurgery

Craniotomy/ Spinal Operations

cefazolin

HMLSchedNZFPMLnoids

IV 2 g

(IV 3 g in patients ≥ 120 kg body weight)

Severe penicillin allergy

vancomycin

HMLSchedNZFPMLnoids

1 g (<70 kg), 1.5 g (70-100 kg), or 2 g (>100 kg)

 

Insertion of CSF Shunts

cefazolin

HMLSchedNZFPMLnoids

IV 2 g

(IV 3 g in patients ≥  120 kg body weight)

AND

vancomycin

HMLSchedNZFPMLnoids

100 mg in 100 mL of saline

3 mL injected into shunt system at time of insertion (rest used to soak shunt prior to insertion).

Endoscopic ventriculostomy irrigation fluid

vancomycin

HMLSchedNZFPMLnoids

100 mg in 1000 mL of Hartmanns Solution

 

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Topic Code: 99275