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

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  • เผยแพร่เมื่อ 29 ม.ค. 2025

ความคิดเห็น • 10

  • @gibby2212
    @gibby2212 ปีที่แล้ว +1

    What is your experience with Amisulpride?

    • @pacunursingminutes
      @pacunursingminutes  11 หลายเดือนก่อน

      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 9 หลายเดือนก่อน

      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 ปีที่แล้ว +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 ปีที่แล้ว +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 ปีที่แล้ว +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 ปีที่แล้ว +1

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

    • @danielleg2616
      @danielleg2616 2 ปีที่แล้ว +1

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

    • @pacunursingminutes
      @pacunursingminutes  2 ปีที่แล้ว +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 ปีที่แล้ว

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