post op n+v

Question 1

risk factors

Answer 1

• anaesthesia used
• type and duration or surgery
• females
• younger age
• non smokers
• PHx PONV or motion sickness
• motion sickness
• opioid use

Question 2

true or false. smoking increases risk of PONV

Answer 2

false.
risk factor for PONV is non smoker

Question 3

true or false. females have higher risk of PONV

Answer 3

true

Question 4

for pt at high risk of PONV (I.e. they have RF), how many meds to give them

Answer 4

combo of 2 or more antiemetics from different drug classes

Question 5

when prophylaxis antiemetic drug treatment has failed, treat PONV with

Answer 5

drug from a different therapeutic class

Question 6

antiemetic prevention - what antihistamine is licensed for prevent and treatment of PONV caused by opioids and GA

Answer 6

cyclizine

Question 7

antiemetic prevention - what phenothiazine is licensed for prevention and treatment of nausea and vomiting

Answer 7

prochlorperazine

Question 8

give examples of drugs used in antiemetic prevention for PONV

Answer 8

5HT3-R antagonist (-setron), droperidol, dexamethasone, droperidol, haloperidol