In PACU, when is it appropriate to administer antiemetics?

Administering antiemetics in the PACU is most appropriate when a patient exhibits signs of nausea or has a history of postoperative nausea and vomiting (PONV). This targeted approach helps to prevent the development of PONV, which can be distressing for patients and can complicate their recovery process. By recognizing early signs of nausea or understanding the patient's history, which may include previous experiences of PONV, healthcare providers can proactively manage symptoms and improve patient comfort.

Timing is crucial, as immediate administration of antiemetics upon arrival may not be warranted if a patient shows no symptoms, and waiting until full recovery could lead to unnecessary discomfort and potential complications if nausea develops. The request for medication by the patient can be taken into consideration, but it should be assessed in the context of clinical findings and established protocols. Thus, the answer draws on clinical judgment about the patient’s condition and history, ensuring that interventions are effective and focused on the patient’s immediate needs.