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Description

Purpose:

To guide nursing care in the early recognition and treatment of PONV.

Prevalence:

Postoperative nausea and vomiting (PONV) is the most prevalent postoperative complication occuring within 24 hours of surgery.

Risk Factors:

Adults at a higher risk of PONV include:

  • Female
  • History of PONV, motion sickness and/or gastroparesis
  • Postoperative opioid recipient
  • Volatile anesthetic and/or nitrous oxide administration intraoperatively
  • Pregnancy
  • Use of birth control pills

Implications:

PONV can create a plethora of adverse events for the patient: anxiety and a sense of dread, increased risk for bleeding, dehydration and electrolyte imbalance, risk for aspiration and airway obstruction, vasovagal response, wound dehiscence, increased intracranial pressure, and increased cost with use of antiemetics and potential for prolonged length of stay.

Publication Date

9-2019

Keywords

Postoperative nausea and vomiting, PONV, PONV therapy

Disciplines

Other Nursing | Perioperative, Operating Room and Surgical Nursing

Magnetizing: Post Operative Nausea and Vomiting

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