ponv Flashcards
incidence ponv
30% avg
factors associated with ponv
pain, dizziness, first movement, first oral intake, opiods
surgeries assoc with ponvq
gyn, abd, ent, eye
factors assoc with ponv (anesthesia)
gastric distention, premed, anesthesia, duration/depth anesthesia
risk fx ponv
age, gender, obesity, gastroparesis, anxiety, hx motion sickness or ponv
effects of ponv
pt discomfort, interruption of po intake, wound dehis, electrolyte imbalance, aspiration of vomit
phenzothiazines drugs
chlorpromazine, fluphenazine, prochlarazine (the zines)
phenzothiazines receptors
mostly D2 dopamine, some muscarinic and histaminic
s/e phenzothiazines
extrapyramidal, sedation, tachy, urine retent
butyrophenoes drugs
“dols” droperidol, haloperidol, domperidone
butyrophenoes receptors
mostly dopamine, some histamine
butyrophenoes side effects
extrapyrimidal side effets, dystonic reaction, sedation, anxiety
benzamines drug
reglan
receptors benzamines
dopaminic, sm histamine, some serotonin
s/e benzamines
sedation, extrapyrimidal, anxiety
antihistamines drugs
benadryl, phenergan
antihistamine s/e
drowsiness
antihistamines receptors
histiminic, some muscarinic, sm amt dopamine
anticholinergic drug
scopolamine
s/e anticholinergic
dry mough, vision prob, confusion, hallucinations
anticholinergic receptors
muscarinic
5ht3 drugs
the trons, ondansetron, granisetron, dolasterone
s/e 5ht3 drugs
headache, dizzy, tired
where are 5ht3 receptors located
in periphery and medulla
simplified risk score
hx ponv, female,nonsmoker, use of opiods 0=10% 1=21% 2=39% 3=61% 4=78%
