I work on a med-surg floor and we mostly do gynecological surgeries, though we have others too. It seems most people coming back have nausea/vomiting within a couple hours. Most of our post op standing orders call for Phenergren IV, PO, or PR , Onadestron or Reglan. Reglan is useless if they are not eating. Zofran has little effect it seems and Phenergren zonks them out so bad I HATE giving it. They are already drowsy, on PCA's of some sort and had spinals.
What do you all do? What can we suggest to the MD's? Vistaril is seldom if ever used. One older RN told me once of some drug they gave that worked wonders and was very inexpensive, but I can't think of it. (maybe droperidol? or Tigan? ) She did not know why they don't give it anymore, but said they still have it in the pharmacy. I have never used either of them.
When I had surgery the anesthesists always gave me something and I never had post op nausea.
