Gastroparesis Flashcards
___ is contraindicated in pt’s w/Parkinson’s d/t its dopaminergic antagonistic effects.
metoclopramide (Reglan)
A ___-___ tear can occur d/t progressive and severe vomiting.
Mallory-Weiss
Antiemetics that are antihistamines and anticholinergics include:
dimenhydrinate (Dramamine), meclizine (Antivert), scopolamine (Transderm-scop)
S/E’s of anticholinergics include: ___, ___ mouth, urinary ___, and ___.
drowziness, dry, retention, constipation
Phenothiazine antiemetics include:
prochlorperazine (Compazine), promethazine (Phenergan)
Important to educate parents of peds pt’s w/gastroenteritis to ___. Peds are at the ___ risk of contracting.
hydrate, highest
Rehydrating for gastroparesis includes: oral ___ solution over 4-6hrs, restoration of ___ and ___, ___ should be maintained at all times, ___ can be reintroduced after successful rehydration.
glucose, calories, fluid, breastfeeding, solids
___ is the first-line tx for diabetic gastroparesis.
metoclopramide (Reglan)
___ is a common complication of diabetic gastroparesis. It is progressive, but will have symptomatic improvement w/ ___ or ___.
vomiting, bethanecol, metoclopramide
For mild-moderate dehydration, tx w/ 50-100ml of ___ rehydrating solution.
oral
For severe dehydration, tx w/ immediate ___ solution, either ___ or ___ at 20ml/kg until signs of recovery, then switch to ___ hydrating solution.
IV, LR, NS, oral
Best tx’s for motion sickness are the medication classes of ___/___ that include scopolamine patch or dramamine.
antihistamine/anticholinergic
DOC for hyperemesis gravidarum include: ___ and ___. ___ may also be useful as well.
cyclizine (Marezine), meclizine (Antivert), ondansetron (Zofran)
Metoclopramide’s extrapyramidal effects are much more likely to occur in ___ pts. Phenothiazines can cause ___ in peds as well.
pediatric, dystonia
cyclizine and scopoloamine not used for children < __ years of age.
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