Long QT, does anyone care?

Took care of a patient recently with long QT and history of postop nausea. She specifically told me not to give her Zofran because of her asymptomatic history just seen on ekg. Admittedly this is not something I’ve been generally concerned with in the past although I am familiar with the black box warning on Zofran. But the reality is every drug just about that we use for nausea has been associated with increasing QT interval and you have to give these patients something. Any thoughts?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums