[andyg]

Have had some diffcult N/V cases over the last 15 years and the good ole standby for me has always been Haldol on these difficult cases. Usually in cases like these I'v eput in a SQ butterfly in the abdomen and covered with opsite and cap. That way the family can give injection into SQ tissue without actually giving "shot". This was used a lot before we got into all the topicals and SL meds. Topicals are ususally limited by dosing and SL can increase the nausea. Good luck

[LCRN]

Anzemet if the patient has IV access or Marinol PO has been a solution for intractable N/V with the other suggestions that posters have suggested

[Nascar nurse]

I was going to say Marinol too. We've used in the past, but not sure that it is legal in all states? Anyone else know?

[memesuzRNC]

We used to find that the scopolamine patches worked great but now we use atropine gtts for teminal congestion. I had a patient that was obstucted and MD Anderson had given him all the big guns in IV's and I tried Scope patches and some ativan sublingual and it worked great.....of course it didn't completely take care of it as he was obstructed but he didn't vomit quiet as often. He was very relieved to have a few minutes of rest in between. Maybe the atropine gtts would dry the pt up so he didn't have much to get rid of. Good luck.....let us know what works!

[Mimi2RN]

This is an interesting thread to me as my brother-in-law has prostate CA, and has n/v. The doc says he's not ready for Hospice care, and yet he has to have frequent blood transfusions, for chronic blood loss. He has problems with most pain meds, which make the n/v worse. He can't keep much down, and has lost a lot of weight. He becomes dehydrated, and has to go in for IV rehydration.

I think I'll suggest the wrist bands, they might help!

Unfortunately, they live 200 miles away from us, and we don't get to visit much. I can't imagine that he's going to live very long. He has had this diagnosis for 8 years.

[holistic]

Flat gingerale works for some people. Take a half a glass of gingerale and stir in about a teaspoon of sugar and watch the fizz go out of - and then drink.
But, the most effective remedy I have seen has been the wrist bands for nausea.

Hope this helps,
Holistic

[doodlemom]

Originally Posted by Nascar nurse

I was going to say Marinol too. We've used in the past, but not sure that it is legal in all states? Anyone else know?

Yes, it is legal in all states. I don't think it will do much for an obstructed pt, though.

[jerseyRN]

wrist bands? what are they?

[aimeee]

Originally Posted by jerseyRN

wrist bands? what are they?

Check it out here:

http://www.sea-band.com/seaband.htm

I tried accupressure on that point myself last summer when I was at the fair and riding the pirate ship. I really began to feel queasy so I used accupressure and focused on my breathing and then it eased up.