CINV Flashcards
LIST risk factors for CINV.
Define acute CINV.
Within 24 hours (peak 4-6 hours)
Define delayed CINV.
After 1-5 days (peak 2-3 days)
Define anticipatory CINV.
Before therapy (sights, smells, sounds); risk factors (treatment > 6 months, h/o anxiety/depression, h/o poor anti-emetic control)
Describe the QOL impact of CINV.
Describe the pathophysiology of CINV.
Describe the role of 5-HT and NK-1 in acute CINV.
Describe the role of 5-HT and NK-1 in delayed CINV.
Describe the MOA of 5-HT3 antagonists.
Describe the MOA of corticosteroids.
Describe the MOA of NK-1 antagonists.
Describe the MOA of olanzapine.
Describe the MOA of benzodiazepines.
Describe the MOA of phenothiazines.
Describe the MOA of butyrophenones.
Describe the MOA of cannabinoids.
LIST common side effects & potential drug related problems with 5-HT3 antagonists.
LIST common side effects & potential drug related problems with corticosteroids.
LIST common side effects & potential drug related problems with NK-1 antagonists.
LIST common side effects & potential drug related problems with olanzapine.
LIST common side effects & potential drug related problems with benzodiazepines.
LIST common side effects & potential drug related problems with phenothiazines.
LIST common side effects & potential drug related problems with butyrophenones.
LIST common side effects & potential drug related problems with cannabinoids.
Identify the common doses and brand/generic name of ondansetron.
Identify the common doses and brand/generic name of palonosetron.
Identify the common doses and brand/generic name of aprepitant/fosaprepitant.
Identify the common doses and brand/generic name of prochlorperazine.
Identify the common doses and brand/generic name of promethazine.
Identify the common doses and brand/generic name of dexamethasone.
Identify the common doses and brand/generic name of olanzapine.
Summarize the evidence for agents used in treating and preventing CINV.
Describe the principles of preventing CINV.
Describe the principles of treating breakthrough CINV.
LIST the goals of CINV treatment.
Design a basic plan to prevent CINV.
Summarize ASCO antiemetic guidelines by emetic risk category.
Describe the rationale for different dexamethasone dosing with different NK-1 antagonists.
Evaluate CINV clinical trial results.
Use ASCO antiemetic guidelines to design regimens to prevent CINV.