CNS - Nausea And Vomiting

Question 1

Which antiemetic to use for pre operative?

Answer 1

Lorazepam

Question 2

Which antiemetic to use for post operative?

Answer 2

Ondansetron or dexamethasone

Question 3

Which antiemetic to use for motion sickness?

Answer 3

Hycosine hydrobromide

**Risk of severe anticholinergic side effects

Question 4

Which antiemetic to use for terminal illness?

Answer 4

Antipsychotics (Haloperidol and Levomepromazine)

Question 5

Which antiemetic to use for Parkinson’s patients and why?

Answer 5

Domperidone

Does not cross blood brain barrier

Question 6

Which antiemetic to use for pregnancy?

Answer 6

AVOID DRUG TREATMENT

however if required:
- promethazine
- Cyclizine
- Doxylamine with Pyridoxine
- Metoclopramide
- Prochloroperazine
- Ondansetron

Question 7

Which antiemetic to use for usual Prophylaxis and treatment?

Answer 7

Antihistamine (Cyclizine / promethazine)
Or
Phenothiazine (Prochloroperazine)

Question 8

Domperidone maximum days use?

Answer 8

7 days

Question 9

Domperidone minimum age?

Answer 9

12 years old

Question 10

Domperidone usual dose?

Answer 10

10mg TDS

Question 11

Domperidone weight requirement?

Answer 11

Pt should be 35kg+

Question 12

Domperidone side effect?

Answer 12

QT Prolongation

Question 13

Metoclopramide Max days use?

Answer 13

5 days

Question 14

Metoclopramide usually dose?

Answer 14

10mg TDS

Question 15

Metoclopramide minimum age?

Answer 15

18 years old

Question 16

Why Metoclopramide cannot be used in Parkinson’s?

Answer 16

Due to Extrapyramidal side effects
And crosses blood brain barrier

UNLIKE DOMPERIDONE