Do any of you have any experience in dealing with hyperbaric oxygen (HBO)therapy and the unit refusing to take your post-ops pts that received Phenergan intra-op?
I took care of a young lady that supposedly got PONV after her last surgery approximately one week ago. In examining the old chart, I saw that the PACU RNs gave Phenergan after the onset of N/V. I asked her if she had any episodes after the Phenergan and she said no. There were no further documented doses of Phenergan in the PACU. Her previous anesthetic record showed liberal amounts of hydration and Zofran administration.
Intra-op she recieved again liberal hydration, 4mg Zofran, and 12.5 mg of Phenergan in her IVF bag after induction during my case. Off to PACU we go. PACU RN states that the HOB unit will not take her due to having Phenergan on-board. I realize that Phenergan can lower the seizure threshold, but this young lady had no prior history of any abnormal neurologic activity.
Does the increased oxygen % atmosphere in the HBO place patients at additional risk for onset of seizures? Does phenergan and increased oxygen percentages act in a cumulative fashion for seizures?
