This is an elderly lady with a complex history autoimmune disorders (SLE headlining), history of acute on chronic abdominal pain without significant findings, one physician queried mesenteric ischemia, and the symptoms fit quite well. The least controlled symptom right now is nausea/vomiting and we're moving toward parenteral routes for all medications. We are at comfort care stage and have the tools available here in LTC to provide it well for 99% of our residents. With this lady, I'm wondering if dexamethasone may be helpful. I know it's used for refractory nausea especially in the case of malignant obstruction - would intestinal ischemia be an indication as well? Or is there a contraindication? I would expect it to help with the abdominal pain as well, no? We have zofran and gravol on board at the moment, and I'm hoping to get something better in place by tomorrow (N/V isn't persistent, mostly occurs after PO intake).