{"id":158,"date":"2025-10-04T18:27:10","date_gmt":"2025-10-04T16:27:10","guid":{"rendered":"https:\/\/infirmieresspi.com\/?p=158"},"modified":"2025-10-04T18:35:32","modified_gmt":"2025-10-04T16:35:32","slug":"nvpo-refractaires","status":"publish","type":"post","link":"https:\/\/infirmieresspi.com\/?p=158","title":{"rendered":"NVPO r\u00e9fractaires"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"158\" class=\"elementor elementor-158\">\n\t\t\t\t<div class=\"elementor-element elementor-element-be2904d e-flex e-con-boxed e-con e-parent\" data-id=\"be2904d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77ede09 elementor-widget elementor-widget-html\" data-id=\"77ede09\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<section class=\"isspi-doc\">\r\n  <style>.isspi-doc{--ink:#0f172a;--muted:#475569;--border:#e5e7eb;font-family:system-ui,-apple-system,Segoe UI,Roboto,Helvetica,Arial,sans-serif;color:var(--ink)}.isspi-doc h1{margin:.2rem 0 .6rem}.isspi-doc h2{margin:1.1rem 0 .45rem;border-bottom:2px solid var(--border);padding-bottom:.25rem}.isspi-doc ul{margin-left:1.2rem}.isspi-doc ol{margin-left:1.2rem}.isspi-doc .kicker{letter-spacing:.12em;text-transform:uppercase;font-weight:800;color:var(--muted);font-size:.85rem}.isspi-doc .warning{border-left:4px solid #f59e0b;background:#fff7ed;padding:.8rem;border-radius:.5rem}.isspi-doc .danger{border-left:4px solid #ef4444;background:#fef2f2;padding:.8rem;border-radius:.5rem}.isspi-doc small{color:var(--muted)}<\/style>\r\n  <p class=\"kicker\">Fiche SSPI<\/p>\r\n  <h1>NVPO r\u00e9fractaires<\/h1>\r\n\r\n  <h2>Objectif<\/h2>\r\n  <p>Limiter l\u2019inconfort, pr\u00e9venir les complications et appliquer l\u2019antalgie\/anti\u00e9m\u00e8se selon protocole.<\/p>\r\n\r\n  <h2>Mesures non pharmacologiques<\/h2>\r\n  <ul>\r\n    <li>Position s\u00e9curis\u00e9e (lat\u00e9rale si vomissements), aspiration \u00e0 port\u00e9e.<\/li>\r\n    <li>O\u2082 si d\u00e9saturation; limiter mouvements; environnement calme\/frais.<\/li>\r\n    <li>\u00c9viter prises orales tant que NV non contr\u00f4l\u00e9s (selon prescriptions).<\/li>\r\n  <\/ul>\r\n\r\n  <h2>Traitements (ex. selon protocole local)<\/h2>\r\n  <ul>\r\n    <li>Si 1<sup>er<\/sup> anti\u00e9m\u00e9tique inefficace \u2192 <strong>classe diff\u00e9rente<\/strong> (ex. s\u00e9tron \u2194 m\u00e9toclopramide \u2194 antidopaminergique \u2194 cortico\u00efde si indiqu\u00e9).<\/li>\r\n    <li>R\u00e9\u00e9valuer efficacit\u00e9 et s\u00e9dation apr\u00e8s administration.<\/li>\r\n    <li>Adapter l\u2019analg\u00e9sie (morphiniques \u2194 NV) selon prescriptions.<\/li>\r\n  <\/ul>\r\n\r\n  <h2>Surveillance & transmissions<\/h2>\r\n  <ul>\r\n    <li>Fr\u00e9quence\/volume des vomissements, naus\u00e9e (EVA\/EVS), tol\u00e9rance.<\/li>\r\n    <li>Param\u00e8tres vitaux, SpO\u2082; vigilance\/s\u00e9dation.<\/li>\r\n    <li>Heure, mol\u00e9cule\/dose\/voie, effet observ\u00e9 et tra\u00e7abilit\u00e9.<\/li>\r\n  <\/ul>\r\n\r\n  <h2>\u00c0 alerter<\/h2>\r\n  <div class=\"danger\">Vomissements incoercibles, d\u00e9saturation, d\u00e9shydratation, douleur abdominale atypique, troubles de conscience.<\/div>\r\n\r\n  <p><small>\u26a0\ufe0f R\u00e9f\u00e9rences = protocoles locaux et prescriptions anesth\u00e9siques; mol\u00e9cules\/doses \u00e0 appliquer selon ta structure.<\/small><\/p>\r\n<\/section>\r\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Fiche SSPI NVPO r\u00e9fractaires Objectif Limiter l\u2019inconfort, pr\u00e9venir les complications et appliquer l\u2019antalgie\/anti\u00e9m\u00e8se selon protocole. Mesures non pharmacologiques Position s\u00e9curis\u00e9e [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":174,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-158","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fiches-sspi-fiches-sspi"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/posts\/158","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=158"}],"version-history":[{"count":7,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/posts\/158\/revisions"}],"predecessor-version":[{"id":165,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/posts\/158\/revisions\/165"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/media\/174"}],"wp:attachment":[{"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=158"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=158"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=158"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}