In your experiences, what are the best meds to give?
I'm not talking about the occasional N/v, but post op or chemo related or other post sugical issues...I'm working in LTC and that is the bulk of my experinece. Our LTC isn't typical in that we are getting a lot more healthier elderly pts that are normally day 3 post op hips or knees or abd sugeries etc.
Remember that elderly have different experiences with meds.
We use alot of Zofran at 4mg and for the most part I think it works great and has no side effects noted or reported. Some times the 4mg doesn't cut it and I suggest asking the MD to increase to 8mg. This normally works if the 4mg doesn't cut it.
Compazine 5 or 10mg is another one we see ordered. I have mixed opinions on this one. In the elderly, it seems too sedating and kinda has a rebound effect..groggy, drowsy, confusion etc.
I've had a little disagrement with a nurse that loves using compazine because it "knocks them out for a few hrs" and refuses to ask for an increase in zofran and states "I've never seen 8mg ordered"
I might be biased because I've taken both before and loved when Zofran became for popular.