Post opertive nausea

Post opertive nausea

Q) Which of the following is not a risk factor for post operative nausea and vomiting?

a) History of smoking

b) Previous history of motion sickness

c) Female Gender

d) Use of Opioid

Answer

a

Non Smokers are at a higher risk of suffering from PONV. Other risk factors are young age, use of volatile anesthetic drugs, long duration of anesthesia and use of nitric oxide.

Management of PONV includes the following classes of drugs

1. 5 HT3 Antagonist-

2. Glucocorticoids

3. Anti histamines

4.Neurokinin Receptor 1 Antagonists like Aperipitant

5.Cholinergic antagonist

6 Butyrophenone

7. Metoclopramide

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