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Reference Guide Quick Refresh > Dalani's Bestie (Antiemetics/PONV) > Flashcards

Dalani's Bestie (Antiemetics/PONV) Flashcards

1
Q

Droperidol (Inapsine) dose?

A

0.625 mg

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2
Q

Droperidol onset?

A

1-5 minutes

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3
Q

Droperidol duration?

A

2-3 hours

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4
Q

Promethazine (Phenergan) dose?

A

6.25-25 mg

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5
Q

Phenergan onset?

A

1-5 minutes

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6
Q

Phenergan duration?

A

4-6 hours

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7
Q

Zofran dose?

A

4 mg

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8
Q

Zofran onset?

A

10 minutes

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9
Q

Zofran duration?

A

4-9 hours

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10
Q

Dexamethasone (Decadron) dose?

A

4 mg

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11
Q

Decadron onset?

A

10-30 minutes

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12
Q

Decadron duration?

A

2-10 hours

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13
Q

Metoclopramide (Reglan) dose?

A

10-20 mg

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14
Q

Reglan onset?

A

10 minutes

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15
Q

Reglan duration?

A

2 hr

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16
Q

Scopalamine patch onset?

17
Q

Scopalamine patch duration?

A

24-72 hours

18
Q

Propofol rescue dose?

A

10-15 mg IV followed by a gtt of 10 mcg/kg/min

19
Q

Long ass list of PONV risk factors.

A

Female
Age > 40 yo
Hx of PONV/Motion Sickness
Vertigo
High risk surgeries:
* Laparotomy
* Laparoscopy
* Major Breast
* Strabismus
* Introcular
* Middle ear
* Tonsils/adenoids
* Neuro (intracranial)
* Gynecological
* Testicular
* Scrotum
* Kidney stones

20
Q

If you have 0 PONV risk factors, what is you risk of developing PONV (%) and what is the treatment?

A

10% chance
non-pharmacologic prophylaxis

(Corn says just give everyone zofran and decadron tho)

21
Q

If you have 1 PONV risk factors, what is you risk of developing PONV (%) and what is the treatment?

A

20% chance
1 prophylactic drug

22
Q

If you have 2 PONV risk factors, what is you risk of developing PONV (%) and what is the treatment?

A

40% chance
2 prophylactic drugs

23
Q

If you have 3 PONV risk factors, what is you risk of developing PONV (%) and what is the treatment?

A

> 60% chance
3+ prophylactic drugs

Basically throw the kitchen sink at them.

Reference Guide Quick Refresh (14 decks)

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