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Thu Oct 23 22:01:39 BST 2003

I don't see a lot of nausea but I feel damn sorry for those who do turn green on me, and would like to do my best to prevent it.  What do you do with those who do develop nausea?
Regards
Chris Cresswell
New Zealand
  ----- Original Message ----- 
  From: Bjorn, Pret 
  To: 'Trauma & Critical Care mailing list' 
  Sent: Wednesday, October 22, 2003 12:16 AM
  Subject: RE: antiemetics

  Since we very rarely see nausea with careful titrations of morphine or fentanyl (our analgesics of choice in conscious patients), there's no compelling indication for prophylactic antiemetics.  

  If for some reason I must give meperidine (some of our clinicians are--well, old), I'll ask to give a whiff of promethazine with it.  But most of our patients do fine without unnecessarily complicating their pharmacology.

  Is your experience otherwise?

  Pret Bjorn
  Trauma Coordinator
  EMMC Trauma Program
  489 State Street
  Bangor, ME 04401

  207.973.7260 (office)
  207.973.7673 (fax)
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    -----Original Message-----
    From: Chris + Mandy Cresswell [mailto:chris.mandy.cresswell at paradise.net.nz]
    Sent: Tuesday, October 21, 2003 4:11 AM
    To: Trauma & Critical Care mailing list
    Subject: antiemetics

    Greetings.  Can I go back to antiemetics (thanks for the replies re prophylactic antiemetics for head injuries)?  What, if anything, do you use as prophylactic antiemetics with opiates?
    Regards
    Dr Chris Cresswell
    Whakapapa and Turoa Ski Fields
    Mt Ruapehu
    New Zealand
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