M6 - Nausea And Vomiting

Question 1

Nausea and vomiting is a ____ ____, and can be the result of ____ ___, ___ ____, or ____. Not all nausea and vomiting requires ____ ____. The main indications for treatment are the ____ of ____ ____ and _____ of ____ ____ ___.

Answer 1

Protective mechanism
GIT pathology; CNS pathology; psychogenic
Pharmacological treatment
Relief; distressing symptoms; facilitation; oral fluid intake

Question 2

Treatment:

1. ___ ___ (__)
2. Administer medication/s if indicated: ____ or ____
3. Treat associated conditions (if indicated):
   
   • ____ (__)
   • ____ (___)
   • ____ ____/____ (___)
4. Regularly repeat and document ____ ____ ____ and ____ ___ in order to identify ____ in ____ ____

Answer 2

1. Patient care (A2)
2. Ondansetron; Metoclopramide
3. Dehydration (M8); Gastroenteritis (M20); Medical hypoperfusion/hypovolaemia (M25)
4. ABCD physical examinations; physiological observations; trends; clinical deterioration

Question 3

Medications for Nausea and Vomiting
Medication, indication, routes, adult/paediatric dose, repeats, max
X2 medications

Answer 3

Ondansetron (234): Indicated for severe nausea and/or vomiting
>= 8yo: 4mg IM/IV, no repeat, max 1 dose
>= 2-<8yo: 2mg IM/IV, no repeat, max 1 dose

Metoclopramide (213): If ondansetron contraindicated or ineffective after 10 minutes
>= 16yo: 10mg IM/IV, no repeat, Max 1 dose
<16yo: contraindicated