Rescue antiemetic protocol
| Symptoms | Nausea score | Treatment |
|---|---|---|
| None | 0 | No treatment |
| Mild | 1–3 | Rescue antiemetic (metoclopramide 10–20 mg) |
| Moderate | 4–6 | Rescue antiemetic (metoclopramide 10–20 mg+ondansetron 4–8 mg) |
| Severe | 7–10 | Rescue antiemetic (metoclopamide 10–20 mg+ondansetron 4–8 mg). If no response in 30 min: dexamethasone 8 mg, then droperidol 0.625 mg. Change of PCA narcotic if no effect within 30 min. |
| Retching/vomiting | NA | As per protocol for severe nausea |
NA, not applicable; PCA, patient controlled analgesia.