nausea and labryrinth disorders Flashcards

1
Q

when are anti emetics prescribed?

A

when cause of n&v is known

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2
Q

which 2 anti emetics can be used for n&v in palliative care?

A

haloperidol

levopromazine [phenothiazine]

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3
Q

which antiemetics are used for n&v in chemotherapy? [3]

A

5ht3 antagonists eg ondansetron

dexamethasone

nabilone but last resort

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4
Q

which anti emetic is used for n&v associated with hepatic and gastrodudenal disease?

A

metoclopramide

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5
Q

which antiemetic is used for n&v in parkinsons?

A

domperidone

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6
Q

which anti emetics can be used in pregnancy?

A

antihistamines eg promethazine
phenothiazines eg prochlorperazine
metoclopramide
domperidone

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7
Q

which antiemetic should be used in post operative nausea and vomiting

A

5ht3 receptor antagonists

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8
Q

which anti emetics should be used for motion sickness [3]

A

hyoscine hydrobromide
promethazine
cyclizine/cinnarizine for less sedating

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9
Q

which drug is used for vertigo/tinnitus associated with BALANCE in menieres disease?

A

betahistine

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10
Q

what can diuretics be combined with in order to treat vertigo in menieres disease?

A

salt restricted diet

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11
Q

what is the safety advice/MHRA warning regarding domperidone?
what is the max treatment duration?

A

risk of cardiac s/e. do not give to pt with CVD issues and report signs of arrythmia

max treatment duration is 7 days

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12
Q

what is the safety advice regarding metoclopramide?

what is the max treatment duration?

A

risk of neurological adverse effects.

prescribe for 5 days use

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13
Q

what is the safety advice regarding promethazine?

A

children under 6 not allowed products otc with promethazine in it

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