
02/11/2019
Okay, I know I've been MIA in the birth world, but this is amazing! Any other doulas out there know this trick? Has anyone tried inhaling alcohol wipes for nausea? I'd love to know your thoughts!
A buddy of yours approaches you in the field and tells you that he’s been feeling nauseous throughout the day after eating the “hot” chow that was served this morning. He denies any significant abdominal pain, fevers, sweats, chills, vomiting, or diarrhea at this time. He just tells you he’d like to not be so nauseous so he can get back to work.
You reach into your bag to get some ondansetron (Zofran) tabs, but realize that you gave your last ones out yesterday to someone else, and you don’t’ have a good resupply available.
Instead of just turning your buddy away, is there anything else that you could do?
What about inhaling an alcohol wipe?
Yes, this is a thing. A small but significant body of literature is demonstrating that the use of inhaling the smell from simple isopropyl alcohol wipes can significantly decrease perceived nausea, in some cases even more than traditionally used medications like Zofran.
One of the most recent was an emergency department-based study in which patients were given either:
Group 1: inhaled isopropyl alcohol wipes and oral Zofran
Group 2: inhaled isopropyl alcohol wipes and oral placebo
Group 3: inhaled placebo and oral Zofran
Patients were reassessed at
The results were decreases in nausea were greatest in Group 2, followed by Group 1, then Group 3.
That’s right, the Zofran only group actually had the smallest decrease in nausea.
Additionally, the use of rescue antiemetics was nearly twice as high in…. yup… Group 3, the Zofran only group.
So if you’re in a pinch, and out of meds, with a nauseated patient, reach for an alcohol wipe and ask them to breath deep. And even if you have traditional medications, think about adding this low-cost, no significant side effect, readily-available intervention.
Study link here:
https://www.ncbi.nlm.nih.gov/pubmed/29463461
More in-depth information here:
https://www.wikijournalclub.org/wiki/Aromatherapy_with_isopropyl_alcohol_for_nausea
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