National Center for Biotechnology Information Several guidelines on the management of postoperative nausea and vomiting (PONV) have been published. 1-7 Among them, 2 were the previous versions of the present guidelines by the same group, published in 2003 and 2007. 1, 2 One set of guidelines was published by the American Society of Perianesthesia Nurses in 2006 3 and another published in Post operative care 4.1. Pain management Pain management is of paramount importance post operatively as it is essential for patients to comply for chest physiotherapy and ambulation and they will be unable to do so if they have severe pain. There are various ways by which pain is managed. They include epidural catheters These guidelines are intended for the use of all practitioners, health care workers, and patients who desire information about the management of the conditions addressed by the topics covered in these guidelines. and a weighted decrease in the postoperative constipation rate was estimated to be 23%. However, new onset of constipation was Opioid-induced constipation (OIC) accounts from over 40% to 60% in patients without cancer receiving opioids[1]. Laxatives must be started at the same time as the opioid to prevent OIC. Once the disorder is established, treatment involves both pharmacological and nonpharmacological therapies. OIC may present immediately when a patient takes the opioid, or it may present gradually during opioid CCDHB Constipation guidelines for community and hospitalized adults 1 Type: Guideline Name: Constipation guideline for community and hospitalised adults. Purpose: To provide up to date, best practice guidance in the prevention and management of constipation for community and inpatient adults at Capital & Coast District Health Board (CCDHB). Scope: In children with chronic constipation, laxatives should be continued for several weeks after a regular pattern of bowel movements or toilet training is established. The dose of laxatives should then be tapered gradually, over a period of months, according to response. Some children may require laxative therapy for several years. Below are some general guidelines. Caring for Your Incision Most importantly, keep your incision clean and dry. Do not shower or bathe until your surgeon says it's okay. And, f you have a dressing, tube or drain, keep it clean and dry, too. Your surgeon may also instruct you to keep your incision higher than your heart when you sit, rest or sleep. Diagnosis. Management. Scenario: Adults. Prescribing information. Supporting evidence. How this topic was developed. References. Management. Scenario: Adults: Covers the management of constipation in adults (including pregnant women and those who are breastfeeding), for short-duration and chronic constipation, and faecal loading and/or impaction. If patient has the following symptoms in addition to constipation: - Increased abdominal distention/discomfort/firmness - Decreased or minimal flatus - Increased belching or hiccupping - Nausea or vomiting -Obtain KUB to assess for ileus or obstruction Bowel Regimen Recommendations for a Non-Functioning Gastrointestinal (GI) Tract Approach Considerations Manual disimpaction and transrectal enemas may be used after any critical illness associated with constipation has been ruled out. A well-lubricated gloved finger might be The specific choice of agents and order of their introduction varies wi