PPT-What’s New with PONV & PDNV?

1100 1200 Objectives Describe ASPAN EBP postoperative nausea and vomiting PONV and Post discharge nausea and Vomiting PDNV clinical practice guideline Describe algorithm for prevention and treatment of nausea and vomiting . for . Postoperative Nausea and/or Vomiting Relief. . Debra Sites, MHA, RN; Nancy Johnson, BSN, RN; Jackie Miller, MSN, RN, NE-BC; . Pauline . Torbush. , RN, CAPA; Tara Fox, MSN, CRNA; Janis Hardin, BS, RN, CPAN. Jimmy Fu. Importance of PONV. Patient distress. Morbidity (aspiration, suture tension, oesophageal rupture, electrolyte disturbances, dehydration). Prolonged PACU stay. Unexpected hospital admission/re-admission. Stanford Anesthesia. PONV. Vanessa Moll, MD. Stanford Anesthesia. Among most common side effects of anesthesia. . Overall incidence of PONV for all surgeries and patient populations is estimated to be 25% to 30% (1). Dr. S. . Parthasarathy. . MD., DA., DNB, MD (. Acu. ), Dip. . Diab. . DCA, Dip. Software statistics- . PhD ( physiology. ),. ( . IDRA . ). Some history . One . of the first extensive descriptions of this phenomenon was by Sir John Snow in 1848, within 18 months of chloroform introduction in . Abdominal Surgery Curriculum. Cholecystectomy. is performed most often . laparoscopically. for symptomatic gallstones . (usually causing . cholecystitis. with fever, RUQ pain and . leukocytosis. ), . Judy Long MSN, RN, CCRN, CNRN, CPAN, CAPA. Objectives. Learner will be able to list risk factors for PONV/PDNV in patients having procedures requiring anesthesia. . Learner will . be . able to discuss study design, data points, and collection . 1 Drug administration bolus on a dose/kg basis is probably as old-fashioned as administration of volatile agents by the Schimmelbuschmask. Cholecystectomy. is performed most often . laparoscopically. for symptomatic gallstones . (usually causing . cholecystitis. with fever, RUQ pain and . leukocytosis. ), . pancreatitis or . acalculous. Amanda J. Darling, MD. Marissa G. Vadi, MD, MPH. UC Davis Department of Anesthesiology & Pain Medicine. Updated 11/2019. Disclosures. No relevant financial relationships.. Learning Objectives:. Review ophthalmologic physiology relevant to anesthetic management.. Dr. S. . Parthasarathy. . MD., DA., DNB,. MD (Acu), . Dip. . . Diab. . . . Dip. . Software . statistics. . PhD. ( . physiology. ), IDRA , FICA. Pictures are taken from the internet for closed academic purpose only . Courses in Therapeutics and Disease State Management. Learning Objectives (Slide 1 of 2). Describe the various etiologies of N/V. Discuss the pathophysiology of N/V. Compare and contrast simple and complex . Amy . Masiongale, DNP, CRNA; Jane Garvin, PhD, . APRN. , FNP-BC; Marguerite Murphy, DNP, . RN; . Stephen W. Looney, . PhD. College of Nursing, Georgia Regents . University (soon to be Augusta University), Augusta. PONV. Vanessa Moll, MD. Stanford Anesthesia. Among most common side effects of anesthesia. . Overall incidence of PONV for all surgeries and patient populations is estimated to be 25% to 30% (1). 0.18% risk of intractable PONV* -> delay in PACU discharge or unanticipated hospital admission -> increasing medical costs (2).