Friday, June 12, 2015

Q: 52 year old female is admitted to ICU post-op. Patient has been given Ondansetron (Zofran) for severe nausea. Patient start complaing of loss of vision described as "puff of white steam sort of thing". What would be your next step?

A) Observe
B) Emergent opthalmology consult
C) Keep patient in supine position
D) Keep patient sitting at 90 degrees
E) Apply patch to eye with vision loss

Answer: A

Blurred vision or temporary loss of vision after administration of Zofran is a well known side effect. It is in most cases temporary and does not require any intervention. If symptoms re-occurs with every administration, other anti-emetic should be considered.

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