Decadron for PONV prophylaxis?

[EmeraldNYL]

How many of you routinely give Decadron for PONV prophylaxis?

Two of the CRNAs I work with always give 8 mg of Decadron and 4 mg Zofran, while one of the MDAs I work with says never give Decadron unless it is a last ditch effort and the patient has had severe PONV in the past. As a student, it is confusing because I get contradictory information from everyone!

Thoughts??

[EmeraldNYL, BSN, RN]

Thanks for the input guys. As a student I'm always interested in how different people do things. I used both Zofran and Decadron on a patient today, she was adequately hydrated, etc. and she still got sick!