 |
| Disclosure before surgery |
Generally, if you are a female from ages 18-50, have a previous history of general anesthesia and PONV, and/or a history of motion sickness, and are a non-smoker then you are at risk of PONV after surgery. Surgeries that increase PONV are, gynecology (GYN), breast surgery, sinus surgery, ear, nose, and throat (ENT), and gastrointestinal (GI).
As CRNAs we have different medications in the preoperative area that can be given to patients before starting surgery, such as Emend (pill form) and scopolamine patch. Emend is used for patients with a history of chemotherapy and nausea. The Scopolamine patch is also used for patients with sea or motion sickness.
Other measures like Propofol infusions are used
intraoperatively as an antiemetic. This can be used at a high dose solely and no volatile
agents used.
Both Decadron and Zofran can be used as anti-nausea drugs as well.
If I know I have a patient who is at high risk for PONV, I may
use all drugs like Emend, scopolamine, Decadron,
Propofol, and Zofran.
Other measures to prevent PONV are to use less narcotics, and give Tylenol IV and NSAIDs like Toradol IV, if not contradicted by the surgeon.
We are really grateful for your blog post. You will find a lot of approaches after visiting your post. Great work. obat paru paru basah
ReplyDelete
DeleteI met a Trusted Certified Binary Options Recovery Expert through there happy again client's recovery reviews that they've recently helped to put smiles back on their faces after been cheated and scammed of their hard earned money . I invested with four binary companies and lost all of my investments totalling £720,000 Then I was contacted by someone offering help – a company who specializes in binary recovery. I was scammed by them again. By the end of it all I had lost all of my savings and I was in serious debt. I was desperate for help and that made me vulnerable to recovery scams. My husband is not around anymore and I have an 8 year old son with learning difficulties. The pressure of being a single, working mother with a child who needs so much additional attention and support became overwhelming for me. I also felt too traumatized to trust anyone else and I was very afraid, but I had no choice other than to trust [email protected] He has been incredibly helpful and supportive and also very understanding about all of my fear and concerns he helped recover all of my funds back within a week using unethical means . I really hope that others do not have to go through what I did, and I wish that I had realized before things were so bad that I was being scammed.
INSTEAD OF GETTING A LOAN, CHECK OUT THE BLANK ATM CARD IN LESS THAN 24hours {[email protected]}
ReplyDeleteI want to testify about OSCAR WHITE blank ATM cards which can withdraw money from any ATM machines around the world. I was very poor before and have no hope then I saw so many testimony about how OSCAR WHITE send them the blank ATM card and i use it to collect money in any ATM machine and become rich. I also email him and he sent me the blank card. I have use it to get $100,000 dollars. withdraw the maximum of $5,000 daily.OSCAR WHITE is giving out the card just to help the poor. Hack and take money directly from any ATM Machine Vault with the use of ATM Programmed Card which runs in automatic mode. email Him on how to get it now via: [email protected] or whats-app +1(323)-362-2310
Outstanding article, many articles I come across these days do not really provide anything that attracts others as yours, but believe me the way you interact is literally awesome I do respect that so much. I will instantly grab your rss feed to stay informed of any updates you make and as well take the advantage to share some vital information regarding the
ReplyDeleteUNDETECTED FAKE BANK STATEMENTS FOR ONLINE VERIFICATION which many are not yet informed of. This is the UNDETECTED FAKE BANK STATEMENTS many Americans uses to get loans of all types, PPP loan, Auto loan, Mortgage loan etc approved within 24 to 48hours no matter your credit score. Not over demanding, I will also take the advantage to ask for your permission to join our 179.3k members TELEGRAM GROUP
.As to share with us your ideas or any latest update on your blog.
Thanks I am Scott from Globex, we are expecting you on our platform.
ReplyDeleteI'm here to testify about Mr. John Blank ATM Cards which can withdraw money from any ATM around the world.. firstly I thought it was a scam until I saw so many testimonies about how Mr. John sent them the ATM blank card and how it was used to withdraw money in any ATM and become rich so I decided to risk the opportunity I contacted him also and I applied for the Blank Card to my greatest surprise I have used it to get 10,000 dollars. maximum withdrawal daily $1,000, Mr. John is giving out the card just to help the poor. Hack and take money directly from any ATM Machine Vault, If you are interested kindly contact him directly on his email ([email protected])
HACKER FRANK ROBERT IS THE ONLY LEGIT HACKER WHEN IT COMES TO HIRING AN HACKER BECAUSE HE HELPED ME
ReplyDeleteI WAS LIVING WITHOUT FINANCIAL FREEDOM UNTIL I MET WITH HACKER FRANK ROBERT WHO LOADED $15,000 AND $10,000 INTO MY PAYPAL AND BANK ACCOUNT WITHOUT TRACES....I INDEED OWE YOU A LOT AND I WILL FOREVER BE INDEBTED TO YOU,YOU CAN CONTACT HIM ON [email protected] or WhatsApp: +1(539) 888-2243 AND YOU WILL BE GLAD YOU DID RATHER THAN WASTE PRECIOUS TIME
Email:[email protected]
WhatsApp: +1(539) 888-2243
Greetings from Maria James from Florida, United State. It is so overwhelming to know that honest hackers do still exist these days though it's hard to get to them. Have been living under a blind romantic scam with my boyfriend not knowing he was after my Dad money, no way to get to my dad except through me, he was hired to ruin my life. He made me fall in love with him so crazy and after two months of our relationship he traveled without my knowledge and I was so worried about him because I couldn't reach him and this lead me to Wizard Brixton and it was not easy getting to know this great wizard, I email him directly via WIZARDBRIXTON (AT) GMAIL (DOT) COM and he then asked me to reach him on WhatsApp if my case was very urgent and I urgently contacted him on WhatsApp with (+1- /807-23 ) 4-0428 ;) Immediately I contacted him' I asked him to help me with the exact location of my boyfriend where-about and he then asked for his mobile number and I gave it out to him not so long he just asked me to wait for 15 minutes and exactly the time he gave to me he got back with unbelievable news.
ReplyDeleteI wouldn't have believed him if he didn't get back with proof because I so much trusted my boyfriend and loved him, why I log in to the mobile spy anonymous monitor I saw for myself that he was without another Lady in Maryland, USA. I then see all conversations and WhatsApp voice records with his boss. Well, All thanks to Wizard Brixton though it actually hurts to know the truth his services I highly recommend and he is very active and fast with a sense of humor. Do reach him today for similar cases and loss of funds. He also retrieves my funds back
Genuine provider for BG/SBLC specifically for lease, at leasing price of 4+2 of face value, Issuance by HSBC London/Hong Kong or any other AA rated Bank in Europe, Middle East or USA.
ReplyDeleteContact : Mr. EASON RONNIE
Email: [email protected]
skype : [email protected]
Intermediaries/Consultants/Brokers are welcome to bring their clients and are 100% protected. In complete confidence, we will work together for the benefits of all parties involved.
All inquires to Mr. Eason should include the following minimum information so I can quickly address your needs:
Complete contact information:
What exactly do you need?
How long do you need it for?
Are you a principal borrower or a broker?
Contact me for more details.
Whatsapp: +19893413179
HACKER FRANK ROBERT IS THE ONLY LEGIT HACKER WHEN IT COMES TO HIRING AN HACKER BECAUSE HE HELPED ME
ReplyDeleteI WAS LIVING WITHOUT FINANCIAL FREEDOM UNTIL I MET WITH HACKER FRANK ROBERT WHO LOADED $15,000 AND $10,000 INTO MY PAYPAL AND BANK ACCOUNT WITHOUT TRACES....I INDEED OWE YOU A LOT AND I WILL FOREVER BE INDEBTED TO YOU,YOU CAN CONTACT HIM ON [email protected] or WhatsApp: +1(539) 888-2243 AND YOU WILL BE GLAD YOU DID RATHER THAN WASTE PRECIOUS TIME
Email:[email protected]
WhatsApp: +1(539) 888-2243
People are trying to hack my account because I'm too good.
I Want to use this medium in appreciating Schwartz's hacking program, after being ripped off my money, he helped me in recovering the money back. have you ever made a wrong payment to Account, Bitcoin, Western Union, Money gram, Paypal, have someone rip you off a Gift card? are you suspecting your lover, do you want to get proof of what your lover/girlfriends doing on her phone? contact: [email protected]
ReplyDeletehe helped me in hacking into my cheating girlfriend phone I was able to read and access her chat conversation on every social media platform and I have proof of it .less than 12 hours Schwartz hacking program got the job done without excuse or delay you can as well reach out to him on: [email protected] / chat him on WhatsApp (+44- /744-82 ) 9-0030 )
I Want to use this medium in appreciating Schwartz's hacking program, after being ripped off my money, he helped me in recovering the money back. have you ever made a wrong payment to Account, Bitcoin, Western Union, Money gram, Paypal, have someone rip you off a Gift card? are you suspecting your lover, do you want to get proof of what your lover/girlfriend is doing on her phone? contact: [email protected]
ReplyDeletehe helped me in hacking into my cheating girlfriend phone I was able to read and access her chat conversation on every social media platform and I have proof of it .less than 12 hours Schwartz hacking program got the job done without excuse or delay you can as well reach out to him on: [email protected] / chat him on WhatsApp (+44- /744-82 ) 9-0030 )
I am so delighted I found your weblog, I really found you by accident,
ReplyDeletewhile I was researching on Bing for something else, Regardless I am here now and would just like to say thank you for a fantastic post and a all round entertaining blog (I also love the theme/design), HOW TO GET A FAKE DRIVERS LICENSE THAT WORKS FROM THE DMV I don't have time to go through it all at the minute but I have bookmarked it and also added your RSS feeds, so when I have time I will be back to read a lot more, Please do keep up the excellent job.
Very interesting Topic. Many articles I come across these days do not really provide anything that attracts others as yours, but believe me the way you interact is literally awesome I do respect that so much. I will instantly grab your rss feed to stay informed of any updates you make and as well take the advantage to share some latest information about
ReplyDeleteUNDETECTED FAKE BANK STATEMENTS FOR LOAN APPROVAL which many are not yet informed of the new and easiest way to get loan from any lender world wide through this undetected fake bank statement for loan eligibility in any country and their advantages over the normal way using your normal bank statement. I will also take the advantage to ask for your permission to join our 179.3k members TELEGRAM GROUP
to share with us your ideas or any latest update on your blog.
Thanks I am Scott from Globex, we are expecting you on our platform
Thank so much for the great job.
I Saw A Post Online Talking About A Guy Who Helped A Lady Get Proofs From Her Cheating Partners Phone, Without Any Physical Touch Which Means It Was Done Remotely, I Then Tried It Out And To My Surprise He Blew Me Off With The Very Type Of Results I Needed I Was Able To See My Spouse's WhatsApp Messages Snapchat Messages Facebooks Messages And See His Call Logs And Also Listen To His Incoming Calls As Well You Should Give Him A Try Also Contact Him through email “[email protected]” reach him on WhatsApp +1-/807-23 4-0428 For Any Type Of Hacking job Funds recovering , Bitcoin recovering , recover what a ripper took from you contact him +1-/807-23 4-0428
ReplyDeleteFound an interesting blog on mycred integration
ReplyDelete, it was knowledgeable.
My name is Rodio samson am here to given the testimonial of how a bad hacker rips me off with a fake hacking instrument I end up paying money without getting my work done until I was introduced to <wizardwilsonsoftware (@) Yahoo.com his whatsapp number (+1) 807,700,3319. who I was not sure about because of the bad experiences I got from the other hackers but I said let me give him a try I explain to him how I lost my money on a bitcoin investment scheme so he asks me for the wallet and I was thinking he could not do anything about it less than 72 hours he helped me to recover my bitcoin and he never charge money for all these services rather he teach you on what to do and where to get the software programs then he will teach you through the phone conversation he is the best Hacker so far and he helpings in recovering lost funds , wrong investment scheme, hacking of Social Media , Instagram hacking , Snapchat hack , Facebook hack , Gmail hacks , Yahoo mail hack ,Account hack he is so perfect in his job and have a speed respond
ReplyDeleteMy husband got pissed off and left the state to MO and I couldn't handle it anymore cause I couldn't take it when I was pleading with the neighbor for food just to feed my kids. I was so ashamed of myself and people always asked me what is going on and i was so scared to tell them the truth about what I'm going through, i really wanted to get through it cause have spent so much on it and gave all that i had into it but it seems not to be enough until one day a friend of mine who i knew long ago decide to take me out and I didn't want to accept at first anyway i went out with her and while i was smoking and drinking i didn't know when i told her everything and she screamed and tell me to hire [email protected] that she has been a victim of it as well, i quickly emailed wizardwilson, my message that day was really crazy, I wrote Hey magic wizardwilson someone is dying and need her money back from fraudsters, please don't get mad at me, i need your help. he replied me and asked me of the wallet address i sent to and that of the name of the binary option, i gave all information as requested by him and he asked me to send him my own wallet address where the money should be reversed back to and i did. Honestly, it amazed me when I got 17 bitcoins in my wallet, I thought it wasn't real but I sold some of it and I got cash and I informed my husband about it he didn't believe it until I showed him. it was really a whole lot of experience and I urge everyone to contact vladimir as soon as possible, he made me know that if ever I need any job that requires hacking skills he is very capable and that include, hacking of account, GPS tracker, mobile spy, compute remote tricks, clearing of record, [email protected] and are whatsapp number +[807]700.3319
ReplyDeleteGreetings from Maria James from Florida, United State. It is so overwhelming to know that honest hackers do still exist these days though it's hard to get to them. Have been living under a blind romantic scam with my boyfriend not knowing he was after my Dad money, no way to get to my dad except through me, he was hired to ruin my life. He made me fall in love with him so crazy and after two months of our relationship he traveled without my knowledge and I was so worried about him because I couldn't reach him and this lead me to Wizard Wilson and it was not easy getting to know this great wizard, I email him directly via <wizardwilsonsoftware (@) Yahoo.com his whatsapp number (+1) 807,700,3319. .and he then asked me to reach him on WhatsApp if my case was very urgent and I urgently contacted him on WhatsApp with (+1- /807-23 ) 4-0428 ;) Immediately I contacted him' I asked him to help me with the exact location of my boyfriend where-about and he then asked for his mobile number and I gave it out to him not so long he just asked me to wait for 15 minutes and exactly the time he gave to me he got back with unbelievable news.
ReplyDeleteI wouldn't have believed him if he didn't get back with proof because I so much trusted my boyfriend and loved him, why I log in to the mobile spy anonymous monitor I saw for myself that he was without another Lady in Maryland, USA. I then see all conversations and WhatsApp voice records with his boss. Well, All thanks to Wizard wilson though it actually hurts to know the truth his services I highly recommend and he is very active and fast with a sense of humor. Do reach him today for similar cases an
wizardwilsonsoftware
Making online purchases or investments are becoming increasingly difficult , There are rippers everywhere on the internet looking for whom to take advantage of, I am a victim too. I have been dealing cryptocurrencies for almost a decade , I was introduced to .... as the most profitable investment platforms out there , I could buy cryptocurrencies at 40% discount once I am an investor on the website , It was a good deal for me , I started with 3btc and got my returns and reinvested it on the site , I went all out ,got money to buy more , At my third deal I invested 30btc at the rate of 13000usd/btc .. I was unable to withdraw , trade or access my $390000 worth of btc afterwards, My world was shattered and the banks were ready to take my house , Worst way to get a divorce .. I reported to the police but there was little information for them to start with, one of the officers who became a close friend told me about a private investigation firm here in the United States , He gave me the contact of wizard wilson who i have experienced magic w. that he could help me recover my funds and even trace the culprits if need be , I never believed it until I met him and talked about my situation, He showed me a list and over 150 clients on his catalogue reported a similar situation from different platforms.. I was fortunate to meet him, He is very professional and excellent at his job , He tracked out my profile and traced it out to the master wallet... He confirmed how much I have invested and transferred it to my wallet like it was magic,You can reach the firm from the wizardwilsonsoftware (@) Yahoo.com his whatsapp number (+1) 807,700,3319
ReplyDeleteThe level of professionalism I received from " young wizard " was second to none. I was stressed, anxious and upset at the unreasonable behavior being displayed by the Funds Management Company that looks after my Investments. I contacted " young wizard Jackson " and I was reassured by the calming nature of the staff that I communicated with and always felt that my concerns were taken seriously. The dispute was resolved amicably and my funds were recovered in a short time after their team took up the case. I am very thankful for the help and reassurance that Recovery team gave me. you can contact them on ([email protected]) or WhatsApp number +1(807) 789 9103
ReplyDeleteI in addition to my friends have already been studying the good key points located on your web site and immediately got a terrible feeling I never thanked the blog owner for those tips on . HOW TO OBTAIN A VALID REGISTERED PASSPORT ONLINE THAT WORKS
ReplyDeleteY’all don’t forget to join this TELEGRAM GROUP for more information about a passport from any country. You can also take advantage to learn and meet many Experts who will guide you on numerous techniques for anyone who love hacking and don’t know how to go about it .
Hello ! My name is Sarah O’Brian, I am a chartered accountant and mother of four from Michigan. Some time ago I decided to invest in cryptocurrency. I invested exactly $102,000 for a start with this fake broker www.24xforex.com and was made to believe that my investment had grown from my initial deposit of $102,000 to $250,700.This felt so good as the investment grew rapidly in just a few weeks. When it was time to take my profit, my withdrawal request was denied. Later on after much vain efforts,i realized that I might never get my money back.
ReplyDeleteI discovered that i had been a victim of cryptocurrency scam.
My boss at work noticed how frustrated I was so I had to open up to him about my encounter with scammers. He linked me up with with Phoenix Cyber Corp. and to my greatest surprise my lost funds was recovered directly to my wallet address in less than 24hours. I don’t know how they did it but it was amazing.
Phoenix Cyber Corp. is a financial regulator and fund recovery body. They warned that these types of scams involving bitcoins and other cryptocurrencies or fake merchants are becoming common lately and targeted victims come from different parts of the world.
I am sharing this to save someone out there from a lifetime disaster.
You can contact these group of Ethical Hackers at [email protected]
Thanks
I just have to introduce this hacker that I have been working with him on getting my credit score been boosted across the Equifax, TransUnion and Experian report. He made a lot of good changes on my credit report by erasing all the past eviction, bad collections and DUI off my credit report history and also increased my FICO score above 876 across my three credit bureaus report you can contatc him for all kind of hacks . Email him here via Email him here via [email protected] or whatsapp Number: ++1 410 635 0697.
ReplyDelete
ReplyDeleteMuch obliged for being honest, I will promptly share your blog on my Facebook and Instagram stage to numerous different individuals from my gathering and furthermore exploit to impart to you the new
TECHNOLOGY FOR THE PRODUCTION OF COUNTERFEIT MONEY WHICH IS NOT DETECTED BY ORDINARY MACHINES which many are still blind about it right now, it is likewise the simplest method for getting double riches through this money printing in any country. I request your permission to join our 379.3k members TELEGRAM GROUP
to share with us your daily post for it to also reach my audience. Thanks, I am Scott from Globex, we await you on our platform to.
You can call me Scott.
BINARY SCAM RECOVERY
ReplyDelete❌ Binary Option, Forex and their likes are a means of making money but it’s more like gambling. There are no sure means to guarantee that a person could make profit with them and that’s why it can also be reasoned to be scam. Let’s not forget that some individuals even give you �� % guarantee of making profits and end up running away with your money. The internet today is full of Binary Option Recovery Scam, you see so much testimonies been shared about how a firm or Company helped them recover what they lost to Binary Options. But believe it, it’s just a way to lure more people and end up scamming them.
❌ You might have also come across some individuals that say they will give you guarantee on successful trades but they only end up as SCAMMERS as well. You here them say stuffs like 200% guaranteed in just 2 weeks and when you go into trade with them, they start telling you to pay profits percentage before you can get your income. These are all liars please avoid them. But if you have been a victim of this guys, then you should contact FIRMWARE now‼️
✳️The big Question is “Can someone Recover their money lost to Binary Option and Scam⁉️
I will say yes, and will tell you how.
The only way to Recovery your money back is by hiring HACKERS to help you break into the Firms Database Security System using the information you provide them with, Extract your file and get back your money. It seems like a really impossible thing to do, I will tell you, it should be impossible, but with the use of specially designed softwares known to HACKERS and Authorities (such as The FBI, CIA e.t.c) it is possible and the only way to recover your money.
✅FIRMWARE are a group of hackers who use their hacking skill to hunt down SCAMMERS and help individuals recovery their money from Internet SCAMMERS.
We just need the contact details of the SCAMMERS and Paymnet Info and within 4-8 hours your money will be return to you.
✳️ You can contact us via the emails below-:
[email protected]
We also provide Legit Hacking Services such as-:
��Phone Hacking/Cloning
��Email Hacking & Password Recovery
��Social Media Hacking & Passowrd Recovery
��Deleted Files Recovery ��Mobil Tracking
��Virus detection & Elimination.
Email-: [email protected]
Firmware
2021 © All Right Reserved.
Never met any hacker as discreet and fast like this WHITECOLLAR Hacker. He’s called WHITE and he has helped me in multiple ways first was when my ex wife cheated on me and now he’s helping me paying my credit cards debts plus he helped me gain access to my spouse phone remotely and I was able to use that against him in court. I must say he’s the best at what he do and I recommend him to the world. Email; WhitehatstechATgmailDOTcom , you can be sure to thank me later. I will keep on telling the world that he’s the best out there, I am very thankful because he gave me and my kids a second chance
ReplyDeleteAs a novice in the crypto world, I had a wrong transaction and got ripped off by a scammer through an investment scam, I lost about 0.7 btc and 1.5 eth to him. I spoke to a friend who's a crypto expert and he referred me [email protected], in less than 48 hours after following due procedures by him I got my btc and Eth back, he's a life saver. You can also text him at (803)814-5462
ReplyDeleteNonetheless I am here now and would just like to say many thanks for a marvelous post and a all round interesting blog . many have been looking for a way out in un bearable marriages . While doing some research , I fell on this HOW TO MAKE FAKE DIVORCE PAPERS Article that changed my life and circle and made me have a new life legally with the help of the octopus tickets for valid divorce papers . Y’all don’t forget to join this TELEGRAM GROUP for more information . I have saved it and also added your RSS feeds, so when I have time I will be back to read much more, Please do keep up the fantastic work.
ReplyDeleteOnce I got off the phone with the broker (Mr. John Michael) from HASHFLARE I was convinced they were the real deal. What strikes me the most about them was the profit I was able to make in the short term. I eventually needed money to attend to an urgent financial situation only for HASHFLARE to deny my withdrawal request after my contract with them expired already and then went on maintenance indefinitely. I became so worried that I had to take more loans to attend to my needs. I was stuck waiting for HASHFLARE’s approval to make withdrawals but all to no avail. They stopped responding to my emails and other forms of correspondence. Checking online to see if this was normal because I got confused then I saw so many negative reviews of HASHFLARE. I knew for a fact I have been scammed. I deposited a total of 226k euros. I was desperately in need of help and did an intensive search on wealth recovery companies. After I was able to sieve out a number of recovery companies with no URLs, I decided to carry on with GLOBALASSETRECOUP.COM after seeing reviews that the company helped recovered monies lost to fraudulent companies and is based in the metropolitan city of NYC. A forensic analysis of my dealings with HASHFLARE was carried out and my claim was found to be legitimate. I got 85% of my money back through this international wealth recovery company. Without a doubt, HASHFLARE & TRADENIX are scam firms and they do not have your interests at heart. Send a mail to contact AT globalassetrecoup. c om if you are a victim of fraud now!
ReplyDelete