Nausea/Vomiting Flashcards Preview

Sub-I Wards Study Guide > Nausea/Vomiting > Flashcards

Flashcards in Nausea/Vomiting Deck (10)
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1
Q

Bilious vomiting suggests

A

prolonged vomiting or obstruction distal to ampulla of vater

2
Q

relief of ab pain with vomiting or vomiting during eating suggests

A

peptic ulcer

3
Q

mallory weiss

A

linear mucosal tears in cardio-esophageal junction with hematemesis

4
Q

3 Dopamine antagonists for N/V

A

promethazine, prochlorperazine, metoclopramide

5
Q

dexamethasone dose for N/V

A

8mg IV one time dose.

inc doses are NOT known to inc efficacy

6
Q

avoid dexamethasone in what pt population

A

DM (inc risk of high sugars)

7
Q

anti-emetic for pts with migraine, motion sickness, or vertigo

A

meclizine

dimenhydrinate

8
Q

anti-emetic for post-chemo nausea

A

5-HT antagonists (zofran, etc.), dexamethasone, promethazine

benzos as adjunct

9
Q

if N/V persist after 1st dose of odansetron/zofran is a 2nd dose beneficial?

A

No, you should switch classes. Higher doses of zofran don’t inc efficacy either (unless chemo-induced N/V)

10
Q

anti-emetic for gastroparesis

A

metoclopramide (inc doses may inc efficacy)