Anti Emetic Flashcards

1
Q

Muscarinic

neurotransmitter and antagonist

A

acetylcholine

scopolamine

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2
Q

Dopamine (D2)

neurotransmitter and antagonist

A

dopamine

metroclopramide

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3
Q

Histamine (H1)

neurotransmitter and antagonist

A

histamine

promethazine

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4
Q

5HT3

neurotransmitter and antagnoist

A

serotonin

ondasteron

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5
Q

Neurokinin 1

neurotransmitter and antagonist

A

substance P

arepritant

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6
Q
NPO guidelines
clear liquid
light meal
fatty meal
is pulp filled fruit juice a clear liquid?
A

2 hrs
6 hrs
8 hrs
no…. pulp free is

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7
Q

what tends to be worse post op pain or nausea

A

nausea

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8
Q

where is the CTZ?

A

medulla (postrema zone), floor of fourth ventricle, outside BBB

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9
Q

10% risk of PONV tx?

A

no tx

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10
Q

20% risk of PONV tx?

A

dexamethasone

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11
Q

40% risk of PONV tx?

A

dexamethasone plus…

either scopolamine/ondansteron/TIVA

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12
Q

60% risk of PONV tx?

A

dexamethasone plus TIVA AND….

eirther scopolamine/ondansteron

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13
Q

80% risk of PONV tx?

A

dexamethasone plus TIVA AND TWO OF THE FOLLOWING…

scopolamine/ondasteron/arepritant

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14
Q

what anti emetic drug has QT elongation side effect and what is the name of the side effect

A

odensatron

torsatts

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15
Q

simplified risk factors for PONV

A

female
non smoker
opioid use for pain management
history of motion sickness

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