nausea and vomiting Flashcards
whereis vomiting centre
medullla
what sort of receptors in medulla for vominiting
muscarinic
what receptors in the chempreceptor trigger zone for vomiting
D2 (dopamine)
5-HT (seratonin)
NK1
CTZ triggers the… which triggers the
vominitng centre
emetic reflex
which receptors involved in motion sickness
H1 and muscarinic
which cells in the stomach release what in response to cytotoxicity
enterochromaffin
serotonin
which nerve carries vomity information from the stomach to the vomiting centre
vagus
5-HT3 antagonist names, use and mechanism of action
…tron eg ondansetron
chemotherapy induced sickness
block serotonin on vagus and GI receptors -> no signal to vomiting centre
NK1 receptor antagonists are used for…
names…
mechanism of action
PONV, chemotherapy-induced N and v
aprepitant, …pitant
blocks NK1 receptors in CNS so Substance P can’t bind
common anti-emetic drigs
dexamethosone
NK1 receptor antagonists
5-HT receptor antagonists
D2 antagonists
what class of drug is domperidone
D2 antagonist
examples of D2 antagonists
domperidone
metoclopramide
which is the most commonly used class of anti-emetics
D2