Chapter 75: Motion Sickness Flashcards
Which antihistamines are used for motion sickness
diphenhydramine, dimenhydrinate, and meclizine
Dimenhydrinate brand name
Dramamine
meclizine brand name
Dramamime All Day Less Drowsy, Bonine
Oral meds for motion sickness must be taken ____ min prior to the needed effect
30-60 min
Scopolamine brand name
Transderm Scop
How is scopolamine used
1 patch behind the ear 4 hrs before the effect is needed or night before surgery
Press firmly to skin behind ear for 30 seconds
May use a new patch every 3 days PRN to opposite ear
Wash hands after applying
Do NOT drive - high level of sedation, dizziness, confusion
Scopolamine CI
hypersensitivity to belladonna alkaloids, closed-angle glaucoma
Scopolamine SE
dry mouth, CNS effects (drowsiness, dizziness, confusion), stinging of eyes and pupil dilation, risk of increased IOP
T/F: Scopolamine patch does not need to be removed before an MRI
false
contains metal
Dimenhydrinate uses
motion sickness, N/V
Scopolamine uses
Motion sickness, preoperative (e.g., C-section)
Dimenhydrinate warnings
CNS depression, increased IOP (glaucoma)
Dimenhydinate SE
dizziness, drowsiness, dry mouth, blurry vision
Meclizine warnings
CNS depression, increased IOP (glaucoma)
Meclizine SE
Sedation, dry mouth, dry/blurry vision