PREVALENSI KEJADIAN PONV PADA PEMBERIAN MORFIN SEBAGAI ANALGETIK PASCA OPERASI PENDERITA TUMOR PAYUDARA DENGAN ANESTESI UMUM DI RSUP DR. KARIADI SEMARANG

Abstract

Background Morphine is the most abundant analgesic which commonly used for post mastectomy’s pain reliever. Altough, it is potentially cause the adverse effect such as nausea and vomiting. Aim To determine the nausea and vomiting experience on patient who received morphine for post mastectomy’s pain reliever. Methods This study was descriptive observational. The patient undergoing mastectomy surgery who received morphine as post operative pain reliever at the Central of Surgery Instalation and Ward in dr. Kariadi Hospital, Semarang from July 1st to December 31st 2014. The data was taken from patient’s medical record. Results There were 40 patients received morphine as post mastectomy analgetic surgery on July 1st to December 31st 2014. After taking morphine as post mastectomy analgetic, 26 patients have had experienced PONV in 24hours. On the beginning (0 hour after surgery), 12 patient (30%) were having nausea and vomiting. On 6 hours after surgery, 17 patient (42,5%) were having nausea and vomiting. On 12 hours after surgery, 13 patient (32,5%) were having nausea and vomiting. On 24 hours after surgery, 1 patient (2,5%) were having nausea and vomiting. Conclusion It was about 65% that morphine may cause PONV effects in 24hours with PONV’s score 0 and 1. Keywords: morphine, nausea and vomiting post mastectomy