PONV, Post-Op Nausea and Vomiting, How to Reduce Risk & Medication Prophylaxis & Rescue, Part 2

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  • Опубліковано 15 січ 2025

КОМЕНТАРІ • 10

  • @gibby2212
    @gibby2212 11 місяців тому +1

    What is your experience with Amisulpride?

    • @pacunursingminutes
      @pacunursingminutes  11 місяців тому

      Great Question, this is a rather new antiemetic drug and where I work its not on formulary. If anyone has used it please comment on your experience and efficacy.

    • @remaorgan5744
      @remaorgan5744 8 місяців тому

      We just rolled out the use of amisulpride. It was rolled out by our eras committee and we don’t use regular now. I’m on the fence about it because I really liked regular for laparoscopic procedures that had cramping and gas pain.

  • @larosenoirek2197
    @larosenoirek2197 2 роки тому +1

    You are amazing!!!! I am a new nurse will start PACU soon! Your content is so valuable. 🙏🏾🙏🏾🙏🏾 Do you have a review course as well for the CPAN. I plan on studying as I am learning my new role.

    • @pacunursingminutes
      @pacunursingminutes  2 роки тому +1

      Thanks Larosenoire! Check out
      courses.pacunursingminutes.com/collections?_gl=1*1gsm0ai*_ga*MTQzNjY5NjM3Mi4xNjU0ODE1NDc0*_ga_K5GM0J3ZSB*MTY1NTMyODcxMS41LjAuMTY1NTMyODcxNy4w&_ga=2.86783441.875354772.1655328713-1436696372.1654815474
      For certification review courses!

  • @MrBraceface216
    @MrBraceface216 3 роки тому +1

    I work in PACU and one of our go-to meds for PONV in the PACU is haldol. What is your go-to antiemetic medication?

    • @pacunursingminutes
      @pacunursingminutes  3 роки тому +1

      Phenergan and Emend In have had great success. Haldol works too!

    • @danielleg2616
      @danielleg2616 2 роки тому +1

      @@pacunursingminutes does phenergan make them sleep too long? Does zofran help in combination?

    • @pacunursingminutes
      @pacunursingminutes  2 роки тому +1

      @@danielleg2616 Yes, Phenergan (H1 Antagonist) may cause drowsiness. Best to use a different agent/drug when treating PONV, so if they have had Zofran (5HT3 receptor antagonist) you would want to pick a drug from a different class of action. There are several drug classes to work with in treating PONV/PDVN: 5HT3Antagonists, H1Antagonists, NK1Antagonists, D2/D3 Antagonists, Multi-modals, anticholinergics, Corticosteroids, and acupuncture and fluids.

    • @dereksippio6087
      @dereksippio6087 Рік тому

      The health system in Fort Myers uses Barhemsys as a part of the multimodal approach it that works quickly with no sedation.