nausea and vomiting Flashcards

1
Q

whereis vomiting centre

A

medullla

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2
Q

what sort of receptors in medulla for vominiting

A

muscarinic

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3
Q

what receptors in the chempreceptor trigger zone for vomiting

A

D2 (dopamine)
5-HT (seratonin)
NK1

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4
Q

CTZ triggers the… which triggers the

A

vominitng centre
emetic reflex

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5
Q

which receptors involved in motion sickness

A

H1 and muscarinic

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6
Q

which cells in the stomach release what in response to cytotoxicity

A

enterochromaffin
serotonin

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7
Q

which nerve carries vomity information from the stomach to the vomiting centre

A

vagus

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8
Q

5-HT3 antagonist names, use and mechanism of action

A

…tron eg ondansetron

chemotherapy induced sickness

block serotonin on vagus and GI receptors -> no signal to vomiting centre

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9
Q

NK1 receptor antagonists are used for…
names…
mechanism of action

A

PONV, chemotherapy-induced N and v
aprepitant, …pitant

blocks NK1 receptors in CNS so Substance P can’t bind

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10
Q

common anti-emetic drigs

A

dexamethosone
NK1 receptor antagonists
5-HT receptor antagonists
D2 antagonists

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11
Q

what class of drug is domperidone

A

D2 antagonist

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12
Q

examples of D2 antagonists

A

domperidone
metoclopramide

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13
Q

which is the most commonly used class of anti-emetics

A

D2

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14
Q
A
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