N/V Agents Flashcards
(44 cards)
Which of the following agents act on the Cerebral High CNS to provide relaxation and help prevent nausea and vomiting? (Select 3 that apply)
A) Scopolamine
B) Ondansetron
C) Benzodiazepines
D) Nabilone
E) THC
F) Metoclopramide
C) Benzodiazepines
D) Nabilone
E) THC
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Which of the following 2 types of antagonists are commonly used to manage nausea and vomiting associated with the vestibular system?
A) D2 antagonists
B) H1 antagonists
C) 5HT3 antagonists
D) Anticholinergic agents
B) H1 antagonists
D) Anticholinergic agents
Corn: see pt’s volume status for hypotension which causes N/V
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Which of the following agents are commonly used to manage nausea and vomiting via action on the vestibular system? (Select 4 that apply)
A) Dimenhydrinate
B) Scopolamine
C) Ondansetron
D) Methotrimeprazine
E) Atropine
H1 Antagonist:
A) Dimenhydrinate
D) Methotrimeprazine
Anticholinergic:
B) Scopolamine
E) Atropine
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Which of the following drugs is used to help manage nausea and vomiting associated with increased intracranial pressure?
A) Dimenhydrinate
B) Dexamethasone
C) Ondansetron
D) Prochlorperazine
B) Dexamethasone
Corn: helps with brain relaxation and decreases N/V. Dose: 10-12 mg
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Which of the following receptor types are commonly targeted in the Chemoreceptor Trigger Zone (CTZ) to control nausea and vomiting?
A) D2 antagonist and 5HT3 antagonist
B) GABA and H1 receptors
C) 5HT4 and muscarinic receptors
D) NMDA and opioid receptors
A) D2 antagonist and 5HT3 antagonist
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Which of the following medications act as D2 antagonists in the Chemoreceptor Trigger Zone (CTZ) to control nausea and vomiting? (Select 5 that apply)
A) Prochlorperazine
B) Haloperidol
C) Methotrimeprazine
D) Chlorpromazine
E) Ondansetron
F) Gastrokinetics
A) Prochlorperazine
B) Haloperidol
C) Methotrimeprazine,
D) Chlorpromazine
F) Gastrokinetics
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Which of the following is an example of a gastrokinetic agent used to treat nausea and vomiting? (select 2)
A) Ondansetron
B) Metoclopramide
C) Scopolamine
D) Domperidone
B) Metoclopramide
D) Domperidone
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Which of the following drugs acts as a 5HT3 antagonist in the Chemoreceptor Trigger Zone (CTZ) to prevent nausea and vomiting?
A) Dimenhydrinate
B) Prochlorperazine
C) Ondansetron
D) Scopolamine
C) Ondansetron
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Which of the following drug classes are commonly used in the GI Tract Vagal pathway to control nausea and vomiting?
A) D2 antagonists, 5HT3 antagonists, 5HT4 agonists
B) Beta-blockers, H1 antagonists, antipsychotics
C) Anticholinergics, GABA agonists, antihistamines
D) Corticosteroids, MAO inhibitors, NSAIDs
A) D2 antagonists, 5HT3 antagonists, 5HT4 agonists
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Which of the following are classified as D2 antagonists in the GI Tract Vagal pathway to control nausea and vomiting?
(Select 4 that apply)
A) Metoclopramide
B) Domperidone
C) Ondansetron
D) Methotrimeprazine
E) Phenothiazines
A) Metoclopramide
B) Domperidone
D) Methotrimeprazine
E) Phenothiazines
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Which of the following are an example of a 5HT3 antagonist in the GI Tract Vagal pathway to control nausea and vomiting? (Select 2)
A) Scopolamine
B) Metoclopramide
C) Ondansetron
D) Prochlorperazine
B) Metoclopramide
C) Ondansetron
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Which of the following are additional medications listed for managing GI tract symptoms through vagal mechanisms?
A) Ondansetron and Metoclopramide
B) Metoclopramide and Domperidone
C) Octreotide and Dexamethasone
D) Phenothiazines and Methotrimeprazine
C) Octreotide and Dexamethasone
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Which of the following agents has both anti-nausea and anti-inflammatory properties and is long-acting?
A) Zofran
B) Decadron
C) Reglan
D) Propofol
B) Decadron
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Which of the following antiemetic agents should be used cautiously due to the risk of QT prolongation?
A) Benadryl
B) Zofran
C) Pepcid
D) Propofol
B) Zofran
Corn: prophylactic than treatment for N/V
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Which of the following are potential side effects of Droperidol? (Select 3 that apply)
A) QT prolongation
B) Confusion
C) Increased heart rate
D) Sedation
E) Hypotension
A) QT prolongation
B) Confusion
D) Sedation,
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Which drug is known for its action on dopamine receptors, promotes forward motility, but may cause anxiety and extrapyramidal side effects?
A) Phenergan
B) Emend
C) Reglan
D) Droperidol
C) Reglan
got a bad rap because of flawed studies.
Corn: give to Diabetic patients
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Which of the following should you avoid when administering Reglan (metoclopramide)?
A) Administer slowly over 1-2 minutes
B) Fast administration with wide awake patients
C) Administer with an antiemetic
D) Give before meals
B) Fast administration with wide awake patients
According to recording of lecture (Youtube)
Which of the following N/V agents is an antihistamine that acts on histamine receptors in the Chemoreceptor Trigger Zone (CTZ)?
A) Decadron
B) Benadryl
C) Emend
D) Propofol
B) Benadryl
Corn: give low dose with PONV cocktail: 6.25-12.5 mg
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Which of the following statements are correct regarding the Scop patch? (Select all that apply-2)
A) It is primarily used to provide multi-day relief for motion sickness.
B) It is effective for treating nausea from chemotherapy.
C) Patient education on proper removal is important.
D) It is used to manage gastric acid reflux.
E) It is effective for treating gastrointestinal bleeding.
A) It is primarily used to provide multi-day relief for motion sickness
C) Patient education on proper removal is important.
Corn: has delayed onset, place the morning or the day before surgery
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In which of the following patient populations should Scopolamine patches not be used for nausea and vomiting?
A) Pediatric patients
B) Patients with asthma
C) Elderly patients
D) Patients with a history of motion sickness
C) Elderly patients
Corn: can cause confusion to elderly patients
According to recording of lecture (Youtube)
Which of the following is an H2 blocker that decreases stomach acid , reduce N/V, and is FDA-approved for morning sickness?
A) Pepcid
B) Zofran
C) Droperidol
D) Reglan
A) Pepcid
Corn: use for aspiration pneumonitis
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Which of the following risks and precautions are associated with Phenergan administration? (Select 3 that apply)
A) Extravasation can result in severe tissue damage or loss of limb
B) It should be diluted when given intravenously
C) It can be administered orally without any risk
D) It has sedative effects that may require monitoring
A) Extravasation can result in severe tissue damage or loss of limb
B) It should be diluted when given intravenously
Corn: dilute to 10mL and start at lower dose
D) It has sedative effects that may require monitoring
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Which agent is known for its anti-emetic properties and is sometimes used as a last resort or in Total Intravenous Anesthesia (TIVA) for high-risk patients?
A) Droperidol
B) Propofol
C) Decadron
D) Benadryl
B) Propofol
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Which of the following are true about Emend (Aprepitant)? (Select 3 that apply)
A) It is a substance P/nk-1 antagonist
B) It is primarily used in high-risk patients
C) It is commonly used as a first-line treatment for mild nausea
D) It targets the CTZ (Chemoreceptor Trigger Zone)
A) It is a substance P/nk-1 antagonist
B) It is primarily used in high-risk patients
D) It targets the CTZ (Chemoreceptor Trigger Zone)
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