{"id":{"repo_id":"msu","oai_identifier":"oai:d.lib.msu.edu:dnp_27"},"canonical_url":"https://search.dev.ndltd.org/etd/msu/oai:d.lib.msu.edu:dnp_27","repository":{"repo_id":"msu","name":"Michigan State University","base_url":"https://d.lib.msu.edu/oai"},"display":{"title":"Implementing a postoperative nausea and vomiting protocol for adult patients undergoing general anesthesia","abstract":"The definition of postoperative nausea and vomiting (PONV) is typically defined as any nausea, vomiting, or retching occurring during the first 24-48 hours after surgery. PONV is associated with increased morbidity and mortality, increased hospital costs, and decreased patient satisfaction. Patient satisfaction is an important hospital quality metric indicator. Up to 80% of patients experience PONV. Anesthesia providers can administer medications that antagonize various receptors to help prevent PONV (Dopamine 2, NK-1, Muscarinic, 5-HT-3, and Histamine 1). The 2020 Fourth Consensus Guidelines are a comprehensive and evidence-based set of guidelines for PONV management. According to the Fourth Consensus Guidelines, risk factors for PONV include females, age < 50, non-smokers, post-operative opioid use, use of volatile anesthetics and/or nitrous oxide, gynecological procedures, and laparoscopic procedures. Patients with 1-2 risk factors should receive 2 anti-emetics and those with >2 risk factors should receive 3-4 anti-emetics. A mid-Michigan teaching hospital has inconsistent practice compliance with their PONV management protocol. The PONV protocol is also inconsistent with the 2020 Forth Consensus Guidelines.","abstract_html":"The definition of postoperative nausea and vomiting (PONV) is typically defined as any nausea, vomiting, or retching occurring during the first 24-48 hours after surgery. PONV is associated with increased morbidity and mortality, increased hospital costs, and decreased patient satisfaction. Patient satisfaction is an important hospital quality metric indicator. Up to 80% of patients experience PONV. Anesthesia providers can administer medications that antagonize various receptors to help prevent PONV (Dopamine 2, NK-1, Muscarinic, 5-HT-3, and Histamine 1). The 2020 Fourth Consensus Guidelines are a comprehensive and evidence-based set of guidelines for PONV management. According to the Fourth Consensus Guidelines, risk factors for PONV include females, age &lt; 50, non-smokers, post-operative opioid use, use of volatile anesthetics and/or nitrous oxide, gynecological procedures, and laparoscopic procedures. Patients with 1-2 risk factors should receive 2 anti-emetics and those with &gt;2 risk factors should receive 3-4 anti-emetics. A mid-Michigan teaching hospital has inconsistent practice compliance with their PONV management protocol. The PONV protocol is also inconsistent with the 2020 Forth Consensus Guidelines.","abstract_has_math":false,"creators":["Dodds, Kayleigh","Kulhanek, Brennan","Wander, Melinda"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Lourens, Gayle"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2022,"date_issued":"2022","date_published":"2022","updated_at":"2026-07-24T03:16:39Z","subjects":["Postoperative nausea and vomiting","Postoperative care"],"languages":["English"],"rights":["In Copyright"],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:27","oclc:1378906766","local:R_1pXtiR1bFKJ01pA"],"render_values":[{"text":"dnp:27","href":null,"code":true},{"text":"oclc:1378906766","href":null,"code":true},{"text":"local:R_1pXtiR1bFKJ01pA","href":null,"code":true}]}]},"links":{"outbound_url":"https://doi.org/doi:10.25335/knb8-dq46","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Lourens, Gayle"]},{"key":"dc:creator","label":"Author","values":["Dodds, Kayleigh","Kulhanek, Brennan","Wander, Melinda"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:coverage","label":"Dc Coverage","values":["Michigan"]},{"key":"dc:date","label":"Dc Date","values":["2022"]},{"key":"dc:relation","label":"Dc Relation","values":["Doctor of Nursing Practice Projects"]},{"key":"dc:type","label":"Dc Type","values":["Text","Theses","Posters"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Postoperative nausea and vomiting","Postoperative care"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:rights","label":"Dc Rights","values":["In Copyright"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:27","oclc:1378906766","local:R_1pXtiR1bFKJ01pA","https://doi.org/doi:10.25335/knb8-dq46"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["The definition of postoperative nausea and vomiting (PONV) is typically defined as any nausea, vomiting, or retching occurring during the first 24-48 hours after surgery. PONV is associated with increased morbidity and mortality, increased hospital costs, and decreased patient satisfaction. Patient satisfaction is an important hospital quality metric indicator. Up to 80% of patients experience PONV. Anesthesia providers can administer medications that antagonize various receptors to help prevent PONV (Dopamine 2, NK-1, Muscarinic, 5-HT-3, and Histamine 1). The 2020 Fourth Consensus Guidelines are a comprehensive and evidence-based set of guidelines for PONV management. According to the Fourth Consensus Guidelines, risk factors for PONV include females, age < 50, non-smokers, post-operative opioid use, use of volatile anesthetics and/or nitrous oxide, gynecological procedures, and laparoscopic procedures. Patients with 1-2 risk factors should receive 2 anti-emetics and those with >2 risk factors should receive 3-4 anti-emetics. A mid-Michigan teaching hospital has inconsistent practice compliance with their PONV management protocol. The PONV protocol is also inconsistent with the 2020 Forth Consensus Guidelines.","Thesis (D.N.P.)--Michigan State University. Nurse anesthesiology, 2022","Includes bibliographical references"]},{"key":"dc:format","label":"Dc Format","values":["1 unnumbered page","application/pdf"]},{"key":"dc:title","label":"Title","values":["Implementing a postoperative nausea and vomiting protocol for adult patients undergoing general anesthesia"]}]}],"canonical_facts":{"dc:contributor":["Lourens, Gayle"],"dc:coverage":["Michigan"],"dc:creator":["Dodds, Kayleigh","Kulhanek, Brennan","Wander, Melinda"],"dc:date":["2022"],"dc:description":["The definition of postoperative nausea and vomiting (PONV) is typically defined as any nausea, vomiting, or retching occurring during the first 24-48 hours after surgery. PONV is associated with increased morbidity and mortality, increased hospital costs, and decreased patient satisfaction. Patient satisfaction is an important hospital quality metric indicator. Up to 80% of patients experience PONV. Anesthesia providers can administer medications that antagonize various receptors to help prevent PONV (Dopamine 2, NK-1, Muscarinic, 5-HT-3, and Histamine 1). The 2020 Fourth Consensus Guidelines are a comprehensive and evidence-based set of guidelines for PONV management. According to the Fourth Consensus Guidelines, risk factors for PONV include females, age < 50, non-smokers, post-operative opioid use, use of volatile anesthetics and/or nitrous oxide, gynecological procedures, and laparoscopic procedures. Patients with 1-2 risk factors should receive 2 anti-emetics and those with >2 risk factors should receive 3-4 anti-emetics. A mid-Michigan teaching hospital has inconsistent practice compliance with their PONV management protocol. The PONV protocol is also inconsistent with the 2020 Forth Consensus Guidelines.","Thesis (D.N.P.)--Michigan State University. Nurse anesthesiology, 2022","Includes bibliographical references"],"dc:format":["1 unnumbered page","application/pdf"],"dc:identifier":["dnp:27","oclc:1378906766","local:R_1pXtiR1bFKJ01pA","https://doi.org/doi:10.25335/knb8-dq46"],"dc:language":["English"],"dc:relation":["Doctor of Nursing Practice Projects"],"dc:rights":["In Copyright"],"dc:subject":["Postoperative nausea and vomiting","Postoperative care"],"dc:title":["Implementing a postoperative nausea and vomiting protocol for adult patients undergoing general anesthesia"],"dc:type":["Text","Theses","Posters"]},"updated_at":"2026-07-24T03:16:39Z"}