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Calculate PONV risk using the Apfel simplified score
Female gender
+1 point
Non-smoker
+1 point
History of PONV or motion sickness
+1 point
Postoperative opioid use anticipated
+1 point
Apfel Score
3 / 4
PONV Risk
61%
High Risk
| Score | PONV Risk | Recommendation |
|---|---|---|
| 0 | 10% | No prophylaxis needed |
| 1 | 21% | Consider single agent |
| 2 | 39% | Prophylaxis recommended |
| 3 | 61% | Multimodal prophylaxis |
| 4 | 79% | Aggressive multimodal prophylaxis |
This calculator is for educational purposes only. PONV prophylaxis decisions should be made by qualified anesthesia providers.