| Vignettes with different prophylaxis regimens | ||||
---|---|---|---|---|---|
 | None | 5-HT3 | 5-HT3 & meto | 5-HT3 & meto & dexa | 5-HT3 & meto & dexa & drop |
Pharmacologic treatment: | |||||
Ondansetron | 53% | 22% | 23% | 23% | 23% |
Dolasetron | 13% | 3% | 2% | 5% | 4% |
Droperidol | 7% | 14% | 18% | 19% | 7% |
Dexamethasone | 8% | 15% | 19% | 2% | 3% |
Metoclopramide | 11% | 21% | 4% | 5% | 4% |
Promethazine | 3% | 13% | 20% | 22% | 28% |
Prochlorperazine | 0% | 1% | 1% | 2% | 4% |
Diphenhydramine | 0% | 0% | 0% | 5% | 4% |
Intra-muscular ephedrine | 1% | 4% | 4% | 5% | 5% |
Hydroxyzine | 1% | 2% | 2% | 5% | 4% |
Propofol | 0% | 1% | 1% | 2% | 5% |
Scopolamine patch | 1% | 1% | 1% | 2% | 3% |
Granisetron | 1% | 1% | 1% | 1% | 1% |
Other | 1% | 2% | 2% | 2% | 3% |
Total | 100% | 100% | 100% | 100% | 100% |
Other includes: trimethobenzamide, perphenazine, haloperidol, atropine, or midazolam | |||||
5-HT3 = 5-HT3-antagonist; meto = metoclopramide; dexa = dexamethasone; drop = droperidol | |||||
Non-pharmacologic treatment: | |||||
IV fluid bolus | 57% | 55% | 56% | 57% | 51% |
Oxygen nasal cannula | 22% | 19% | 19% | 19% | 20% |
Sniff alcohol swab | 6% | 5% | 7% | 7% | 6% |
Reassure the patient that PONV will pass | 1% | 3% | 1% | 1% | 1% |
Forced air warming | 3% | 4% | 3% | 3% | 7% |
Keep NPO | 1% | 1% | 3% | 1% | 1% |
Acupressure forearm & acupuncture & acustimulation with the ReliefBand | 4% | 4% | 4% | 4% | 6% |
Lay patient flat on gurney | 4% | 3% | 3% | 3% | 3% |
Other | 0% | 5% | 3% | 3% | 4% |
Total | 100% | 100% | 100% | 100% | 100% |