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PONV Guidelines Update 110110
PONV Guidelines Update 110110
Non smoker?
Female?
Total Score
Risks may be further modified by type of surgery and the consequences of PONV.
SCORE 2 OR 3
No prophylaxis
Treat in Recovery
if necessary
Dexamethasone 4 - 8mg
Droperidol 0.625 - 1.25mg
Ondansetron 4mg
(4) DECIDE ON THE PLAN FOR RECOVERY AND THE WARD. PRESCRIBE ON
ANAESTHETIC SHEET AND DRUG KARDEX
References:
1. Apfel C. Anesthesiology 1999; 91: 693-700
2. Tramer M. BMJ 2003; 327: 762-763
3. Gan T.J. Ambulatory Anaesthesiology 2007; 105: 1615-28
Blocked NG Tube
Intra-Abdominal pathology
Ileus
Hypotension
Pain
Hypovolaemia
No
No
Reassess PONV
regularly as per
guideline
Yes
No
Non smoker?
Female?
Total Score