Anti Emetic Flashcards
Muscarinic
neurotransmitter and antagonist
acetylcholine
scopolamine
Dopamine (D2)
neurotransmitter and antagonist
dopamine
metroclopramide
Histamine (H1)
neurotransmitter and antagonist
histamine
promethazine
5HT3
neurotransmitter and antagnoist
serotonin
ondasteron
Neurokinin 1
neurotransmitter and antagonist
substance P
arepritant
NPO guidelines clear liquid light meal fatty meal is pulp filled fruit juice a clear liquid?
2 hrs
6 hrs
8 hrs
no…. pulp free is
what tends to be worse post op pain or nausea
nausea
where is the CTZ?
medulla (postrema zone), floor of fourth ventricle, outside BBB
10% risk of PONV tx?
no tx
20% risk of PONV tx?
dexamethasone
40% risk of PONV tx?
dexamethasone plus…
either scopolamine/ondansteron/TIVA
60% risk of PONV tx?
dexamethasone plus TIVA AND….
eirther scopolamine/ondansteron
80% risk of PONV tx?
dexamethasone plus TIVA AND TWO OF THE FOLLOWING…
scopolamine/ondasteron/arepritant
what anti emetic drug has QT elongation side effect and what is the name of the side effect
odensatron
torsatts
simplified risk factors for PONV
female
non smoker
opioid use for pain management
history of motion sickness