Which antiemetic do you use? Which one would you like to use?

[Just Plain Ruff]

She never got to the point of needing the zofran drip.

[medicgirl05]

We used to carry Phenergan and I loved it but the local ER's didn't. They were concerned about necrosis from infiltration if not given correctly. We now carry Zofran but I haven't used it yet.

[MedicAsh]

We carry Zofran right now. We also have Compazine, but its hardly ever used. I think I used it once. Zofran is the med of choice in the ambulance. In the ER we alsu use phenergan. Like in the ambulance, 9 out of 10 docs prefer Zofran. I think it works fairly well in my opinion and experience.

[mobey]

If I want the patient to be sleepy, I use Gravol.

If they are nauseated, but not actively vomiting OR on a backboard (whether nauseated or not) they get Zofran.

I use Maxeran pre-intubation since it increases lower esophageal shincter tone (which paralytics do not affect btw). I also use it for the people who I do not want sedated, but are actively vomiting since zofran in these people seems to be like dragging a cat backwards. I use it with a litre of saline for migranes as well.

[Kiwiology]

I can't say I've ever heard of a Zofran drip, but the OB guys do things a lot different than the rest of the medical world. I don't see why you can't do it, I just have never seen/heard it.

How interesting, I have never heard of this either but then again despite finding OB/Gynae slightly fascinating I have no real interest in it beyond learning what I need to know to deliver Mini Kiwi's myself at home

And you can put anything in a drip I suppose ...

[Vorenus]

We carry MCP and Xomolix, but seldomly use the latter, it`s pretty new too. Would love to carry Vomex (Dimenhydrat), everybody seems to love it.

[nypamedic43]

We use Zofran all the time. We carry Phenergan in the back up if needed.

[island emt]

We used to have Pherergan, then they took it off the med list to be replaced with Zofran.

Now there are shortages of Zofran , so they brought back Pheregen as a replacement.

Go figure!

[BEorP]

Anecdotally, I've found dimenhydrinate to be a great antiemetic.

I guess I should have explained my complaint... the sedation from it isn't always great and it would be nice to have an option that can do something for nausea from chemo (not that we see a lot of that, but as you know dimenhydrinate is useless for it). Certainly in some patients it can definitely be a useful antiemetic though.

Edited April 6, 2012 by BEorP

[paramatt_]

We also have Compazine, but its hardly ever used.

We also have prochlorperazine which dosesn't seem to get used all that often. With that being said however, I have very good results when used for vertigo/Merniere attacks as well as migraies.