Adult Nausea and Vomiting Flashcards
1
Q
Clinical signs of significant dehydration (5 Things)
A
- Postural perfusion changes including tachycardia, hypotension or dizziness
- Decreased sweating and urination
- Poor skin turgor, dry mouth, dry tongue
- Fatigue and altered consciousness
- Evidence of poor fluid intake compared to fluid loss
2
Q
Undifferentiated nausea and vomiting may include
A
- Secondary to cardiac chest pain
- Secondary to opioid analgesia
- Secondary to cytotoxic drugs or radiotherapy
- Severe gastroenteritis
3
Q
What is the preferred treatment for nausea and vomiting in hte pregnany patient with signs of dehydration?
A
- Fluid rehydration
4
Q
What is the Mx for undifferentiated nausea and vomiting?
A
- Ondans 4mg ODT
+ repeat 5-10/60 4mg - Ondans 8mg IV no repeat
- If known allergy OR C/I to Ondansetron AND >= 21 Stemitil 12.5mg
5
Q
What is the Mx for less than adequate dehydration?
A
- Normal Saline IV (40mL/Kg)
+ titrated to response
+ Consult for further
+ No consult available further 20mL/Kg
6
Q
What is the Mx for Adequate perfusion Dehydration?
A
- Normal Saline 20mL/Kg IV over 30minutes
7
Q
What 3 things are considered vestibular Nausea?
A
- Aeromedical Evacuation
- Vertigo
- Potential Motion sickness
8
Q
What is the Mx for Vestibular Nausea?
A
- Patients over or equal to 21 get stemitil 12.5mg
