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PONV Risk Calculator

Score a patient's Apfel PONV risk in four taps and get an instant, tiered prophylaxis plan — free for every user.

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The PONV risk calculator turns the Apfel score into something you can actually use between cases — no mental math, no memorized incidence table, just four taps and an answer.

Tap the risk factors that apply — female sex, a history of PONV or motion sickness, nonsmoker status, planned postoperative opioids — and watch the score build live on a color-coded gauge, running from green at low risk through gold, orange, and red as risk climbs. No guessing what a color means: a plain-language risk tier and the actual incidence percentage sit right below it.

Below the score, you get a tiered prophylaxis recommendation pulled straight from the Gan Consensus Guidelines — the specific antiemetic classes to reach for at that risk level — plus a teaching note on the baseline-risk moves (TIVA, minimizing opioids, skipping nitrous) that stack on top of any drug regimen.

  • Four-factor Apfel score, calculated instantly as you tap
  • Live 0-4 risk gauge with a distinct color per risk level
  • Incidence percentage and risk tier (low/moderate/high) at a glance
  • Tiered antiemetic prophylaxis guidance for every score
  • Free for every user — no subscription required

Included in

Clinical Access ProFull Access CE

Clinical Access Pro unlocks this and every drug, surgery, and calculator in the app, plus 6 AANA-accredited CE credits. Full Access CE includes all of that and the full course library when you’re ready to earn more.

Introduced in 3.1.3. Understand the concept →