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- Dexamethasone: at least 16 mg IV as soon as possible after assessment[1]
- Note: dexamethasone can be used to reduce compressive edema from epidural metastases, but is more likely to worsen an infection from spinal epidural abscess.
- Consult spine service
- Consider foley for bladder decompression
- ↑ Metastatic spinal cord compression: Diagnosis and management of
patients at risk of or with metastatic spinal cord compression. Full Guideline. November 2008. Developed for NICE by the National Collaborating Centre for Cancer. ©2008 National Collaborating Centre for Cancer
