[btrfly76]

I am trying to gather evidence/literature that lemon glycerine swabs in PACU are not helping the patients relieve their dry mouths. Any suggestions? Thank you.

[dianah]

I did a brief google search and came up with this article:

http://www.cancersupportivecare.com/drug.php

Mentions use of lemon-glycerine swabs potentially contributing to dry mouth, as the glycerine dehydrates (article is written in context of supportive care for people undergoing rad. and chemotx).

I have no direct experience to contribute, hope someone is able/willing to chime in to help.

Good luck!

[Babs0512]

We use those pink, minty swabs. I was surprised that when I read the ingredients listed on the swab, "mannitol" was one of the ingredients.

I believe in ice chips, I used them sparingly, but they really help the patient to be more comfortable. I've also found I need less pain medication if patients are perceiving our attempts at distraction and making them more comfortable.

[anne74]

We just pulled all the lemon swabs I guess because of this article - but I couldn't find anything about it in the linked article.

Now we just use the pink sponge swabs dipped in ice water. Then, we graduate to ice chips. I think a lot of the patients disliked the lemon swabs - they tasted kind of funky anyway.

[kezza444]

We use ice chips and graduate to sips of water. This seems to work well.

[PACUJennifer]

I can't see Lemon-Glycerin swabs helping when even sips of cold water don't help - it just takes time - most of our pts are given Atropine in the early intraop phase to reduce oral secretions,leaving them with an intensely dry mouth when they wake up in PACU

[Babs0512]

Narcotics also add to the dry mouth!

[blinks14]

I wish I had the exact resources but I fought this at the surgical hospital I recently left because I had read varying reports that these swabs do contribute to dry mouth and are damaging to the mucosa. When I would find them on the unit I would get rid of them because of that. And also because we dealt with healthy post-surgical patients who should be drinking fluids anyway.

[ativanni]

We never use these. I didn't even know they still made them! We use the green foam swabs and dip them in H2O.
If they are awake enough we use ice chips.