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begin to rehydrate the patient earlier in the admission process.
• Pressure points. Our literature search suggested that acupressure
wristbands are an important adjunct to preventing PONV. We now use
these bands on all high-risk patients, whether the factors are patient- or
procedure-associated. In addition, they're a visual reminder to the anesthesia staff that the patient has a high PONV risk. A poster in our medication room defining risk factors for PONV and listing surgeries often
associated with PONV serves as an extra reminder to consider using the
wristbands.
• Reassurance. There's a strong mind-body connection associated
with PONV. Patients who've previously experienced PONV are anxious
to prevent it. We explain that the team is aware of their histories and
describe the modalities we'll use to help prevent this unpleasant experience from recurring. This reassurance decreases their anxieties, begins
the process of positive thoughts and lets patients know we're listening
to their concerns. In addition, we begin instructing our patients preoperatively about measures that will help lessen their PONV risk in the
PACU, such as drinking sips of ginger ale; avoiding acidic juices, coffee
and milk products; and moving slowly or reclining if they become nauseated.
3
Remember, prevention is your best option
Many factors influence the development of PONV. Treating the problem is complicated and requires a multi-modal approach. The key to
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