PONV. Post-Op Nausea and Vomiting, Pathophys., Risk Factors & 2020 Consensus Guidelines PONV, Part 1

[@Max-lg9nw]

I love this channel. Im an ex ER nurse that just started doing periop/ mostly PACU last September and this channel has taught me so much. I thoroughly enjoy your videos. They're a god send.

[@pacunursingminutes]

Thank You for your kind words!

[@kbreazyy]

same!!! keep them coming i learn so much from you!

[@traceyroberts6540]

Very comprehensive! Really enjoying your clear and well researched and explained video’s!

[@pacunursingminutes]

Thank You Tracy, I love learning and sharing my knowledge with my fellow peers and the next generation of nurses! Part 2 to release 2/1/2021!

[@deborahboyd641]

Your such a good teacher, thank you for your sessions 😃

[@pacunursingminutes]

Thank You Deborah! I have always enjoyed teaching and I'm thankful to share the knowledge I have gained over the years with my fellow TRIBE!

[@pacunursingminutes]

Next week, Part 2! Subscribe so you don't miss an episode.

[@alyssadiceflipper5201]

I am doing research as to why I had such severe N/V from my hip laberal repair surgery in Jan 2022. My nausea continued 2 MONTHS post-op and I went through several Dr trying to figure out what caused it. Saw a ENT, Neurologist and Allergist and no one could figure it out. Day of nothing they gave me stoped the V/N but a few days later they gave me more Zofran and it worked, sorta. Unfortunately my repair failed and I have the 2nd surgery soon. Really dreading the Post Op symptoms again. This time I might try the Patch behind the ear pre-op. Wish me luck!

[@pacunursingminutes]

Hi Ohana, I empathize with you! N/V is terrible! When the nurses call you from pre-admissions screening/education inform them of your severe Post discharge nausea. The scolpalmine patch is an option to discuss and also discuss with the anesthesiologist your severe n/v there are strategies they can do to help decrease your risks of developing n/v. A newer medication called Emend, has shown superior effects than Zofran, discuss this option too with anesthesia! Your in my prayers for a successful nausea free second surgery! Big hugs 🤗 to you! Cathy

[@alyssadiceflipper5201]

@@pacunursingminutes Thank you for your encouraging words. I will look into Emend. I think they said they tried 3 different nausea meds through IV and none of them helped. I know with the patch I had a strange reaction taking it on a cruise. My eyes dried out and everything was so blurry I could not see! I told the Anesthesiologist this so maybe he didn't use it.

[@pacunursingminutes]

@@alyssadiceflipper5201 Ok stay away from the scopolamine since you know you are sensitive. It does dry out eyes and mucus membranes. Yes have a conversation with anesthesia to come up with a plan specifically tailored to you to provide prophylaxis against nausea and then a rescue medication strategy in case it does reoccur. Best to you.

[@gibby2212]

Talk to anesthesiologist about Amisulpride as a rescue med. I hear this is really effective. Off label use of an antipsychotic

[@muneebahmed3489]

Excellent.👍

[@pacunursingminutes]

Thank you! Stay tuned for next weeks part two!

[@skidmark7845]

When I woke up from l4/l5 fusion surgery, I couldn’t feel my right leg and I was sweating profusely. That’s when the vomiting started. Not sure what caused it but I know that I didn’t get any sleep the night before, I’m guessing from anxiety.

[@pacunursingminutes]

Thanks for your comment! Wow, unable to feel you leg, that is concerning, I hope all your sensation and motor movement has now returned! The sweating is most likely associated with the vomiting, the N/V highest likely cause is anesthesia. If you ever have surgery again let the nurses and anesthesia know about you history of post-op nausea so they can give you medications to help prevent this complication from repeating. Take care and Stay safe! Nurse- Cathy

[@catherinebirch2399]

They Don't explain why certain patients or surgeries increase the risk.

[@pacunursingminutes]

Hi Catherine, many ENT and Dental surgeries trigger PONV for many reasons. Here are a few, overall blood is a BIG irritant the stomach and can trigger PONV, the Eustacian tube in the ear is associated with balance and can trigger vertigo which may cause nausea to just mention a few. Others trigger the CTZ in the brain anesthetics etc.