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The document is a price list for a snack bar, detailing various food and beverage items along with their corresponding prices. It includes specialty sandwiches, breakfast burritos, bagels, hot dogs, fruits, snacks, baked goods, and drinks.

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What is the number needed to treat PONV?

The success rate (i.e. absence of any PONV symptoms after application of ondansetron in a patient with established PONV) is 40% with 1 mg, and 45% with 4 mg. The number-needed-to-treat to prevent nausea with 4 mg is 16 (number- needed-to-treat to prevent vomiting/retching 6.4).

What is the best treatment for PONV?

Patients at moderate to high risk for PONV benefit from the administration of a prophylactic antiemetic agent that blocks one or more of these receptors. Effective agents include transdermal scopolamine, prochlorperazine, promethazine, droperidol, ondansetron, dolasetron, granisetron, and dexamethasone.

What are the options for PONV?

The currently available antiemetic drugs for the treatment and prevention of PONV include the 5-hydroxytryptamine (5-HT 3) receptor antagonists, neurokinin-1 (NK-1) receptor antagonists, corticosteroids, butyrophenones, metoclopramide, phenothiazine, prochlorperazine, antihistamines, and anticholinergics ( Table 4).

What are the risk factors for PONV?

PONV Risk Factors The following are risk factors for PONV: Female gender History of PONV History of motion sickness Non-smoker Intended administration of opioids for post-operative analgesia.

What are the choices for antiemetics?

Antiemetics in specific circumstances Consider using low-dose domperidone (does not cross the blood-brain barrier), cyclizine or ondansetron. Metoclopramide and prochlorperazine are contraindicated due to the risk of exacerbation of parkinsonism.

What is the new drug for PONV?

Barhemsys is a selective dopamine-2 (D2) and dopamine-3 (D3) receptor antagonist indicated in adults for: prevention of postoperative nausea and vomiting (PONV), either alone or in combination with an antiemetic of a different class.

What is the protocol for postoperative nausea?

General Management Ensure good oxygenation and normal blood pressure. Give IV fluids if dehydrated. Administer anti-emetic early when patient is nauseated rather than waiting for patient to before treating PONV (see drug therapy section below). If cause of PONV is known, correct if possible.

How long does PONV last?

Generally, uncomplicated PONV rarely goes beyond 24 hours post-operatively. Problematic PONV however is more multifactorial in origin and can be difficult to treat effectively. Patients at risk of this should be identified by the anaesthetist and may be given prophylactic anti-emetic treatment.