Motion Sickness

Question 1

Supplements for motion sickness

Answer 1

Ginger

Question 2

Drugs for motion sickness

Answer 2

Antihistamine
Anticholinergics

Question 3

Define nausea

Answer 3

The uncomfortable, quest feeling that one may vomit

Question 4

Treatment of nausea

Answer 4

5-Ht with 5-HT3 receptor antagonist
DA with phenothiazines
5-HT and DA with metoclopramide

Question 5

Treatment for vertigo

Answer 5

Antihistamine
BZD

Question 6

Vertigo

Answer 6

Dz with the sensation that the environment is moving or spinning

Question 7

Define motion sickness

Answer 7

Dz with the sensation of being off-balance or wholly due to repetitive motions

Question 8

Antihistamines indicated for motion sickness

Answer 8

Benadryl
Dimenhydramine (Dramamine)
Meclizine (Bonine, Dramamine Less Drowsy)

Question 9

When to take anthistamine

Answer 9

30-60 min prior

Question 10

What is not generally effective for motion sickness

Answer 10

Metoclopramide and 5-HT3 receptor antagonist

Question 11

Scopolamine

Answer 11

Trans-Scop

Question 12

Demenphydramine

Answer 12

Dramamine

Question 13

Meclizine

Answer 13

Bonine, Dramamine Less Drowsy

Question 14

CI of Scopolamine

Answer 14

Hypersensitivity to belladonna, closed angle glaucoma

Question 15

ADR of scopolamine

Answer 15

Dry mouth, CNS effect, pupil dilation, withdrawal sx after discontinuation, increased IOP

Question 16

Counseling of scopolamine patch

Answer 16

1. Remove before mRI
2. Q72H (behind ear 4hr prior)
3. Avoid alcohol
4. Firm press for 30 secs
5. Wash hands

Question 17

ADR of Dramamine

Answer 17

CNS depression, Glaucoma, DZ, drowsiness, dry mouth, blurry vision

Question 18

ADR of Meclizine

Answer 18

Drowsiness, dry mouth, blurry vision, CNS depression, Glaucoma

Indication: vertigo