Name of the Procedure:

Antiemetic Drug, Rectal/Suppository, Not Otherwise Specified (J8498)

Summary

This procedure involves the administration of an antiemetic medication in the form of a rectal suppository. Antiemetic drugs help reduce nausea and vomiting. The rectal route is often used when patients cannot take medications orally due to severe vomiting.

Purpose

This procedure aims to alleviate nausea and vomiting, which can occur due to various conditions such as post-operative recovery, chemotherapy, or gastrointestinal disorders. The goal is to provide relief from these symptoms and improve the patient’s comfort and ability to maintain proper hydration and nutrition.

Indications

• Persistent nausea and vomiting unresponsive to oral medications
• Patients undergoing chemotherapy or radiation therapy
• Post-operative patients with severe nausea and vomiting
• Gastrointestinal conditions causing significant nausea

Preparation

• The patient may be advised to empty their bowels before the procedure.
• No specific fasting or medication adjustments are usually necessary.
• Diagnostic tests are typically not required beforehand.

Procedure Description

1. The healthcare provider will explain the procedure to the patient.
2. The patient will be positioned on their side with knees slightly bent.
3. The rectal suppository, containing the antiemetic drug, will be gently inserted into the rectum using a gloved finger.
4. The patient will be advised to remain lying down for a few minutes to allow the suppository to dissolve and absorb.

Duration

The procedure itself takes only a few minutes. The antiemetic effect typically begins within 15-30 minutes.

Setting

This procedure is often performed in a hospital, outpatient clinic, or at home under the guidance of a healthcare professional.

Personnel

• Nurse or physician
• Generally, no anesthesiologist is required unless the procedure is part of a larger treatment plan involving anesthesia.

Risks and Complications

• Mild discomfort or irritation at the insertion site
• Rarely, allergic reactions to the drug
• Potential for rectal bleeding or injury if not properly administered

Benefits

• Rapid relief from nausea and vomiting
• Improved patient comfort
• Facilitates better nutrition and hydration

Recovery

• Post-procedure, the patient should rest for a short period to ensure the suppository is fully absorbed.
• Normal activities can usually be resumed shortly afterward.
• Follow-up is only required if symptoms persist or complications arise.

Alternatives

• Oral antiemetic medications (may not be suitable for patients with severe vomiting)
• Intravenous or intramuscular antiemetic treatments (more invasive)
• Natural or over-the-counter remedies (less effective in severe cases)

Patient Experience

• Mild discomfort during insertion
• Relief from nausea and vomiting can be expected within a short period
• Pain management is typically not required, but discomfort can be minimized by proper technique and lubrication.

By understanding the purpose, preparation, and procedure details of administering an antiemetic drug via a rectal suppository, patients and healthcare providers can work together to manage severe nausea effectively.