Nausea and Vomiting

Question 1

What is the prophylaxis of Nausea and Vomiting

Answer 1

• Antihistamines
• Phenothiazides (prochlorperazine)

Question 2

Nausea and Vomiting and Pregnancy

Answer 2

• try to avoid drug therapy

1st Line:
Promethazine

2nd Line:
Cyclizine, metoclop, ondanset, proch

Question 3

Postoperative Nausea and Vomiting

Answer 3

• Ondansetron
• Dexamethasone

Question 4

Preoperative Anticipatory Nausea and Vomiting

Answer 4

Lorazepam

Question 5

Motion Sickness

Answer 5

• Hyoscine Hydrobromide
  (risk of anticholinergic side effects)

Question 6

Nausea and Vomiting and Parkison’s

Answer 6

Domperidone

Question 7

Nausea and Vomiting in Palliative Care

Answer 7

Antipsychotics
- Haloperidol
- Levomepromazine

Question 8

What is the minimum age of metoclopramide

Answer 8

18 years old (5 day usage)

Question 9

Why is domperidone used in Nausea and Vomiting and Parkison’s

Answer 9

Because it does’t cross the blood brain barrier

Question 10

What is the dose of Domperidone and for how long

Answer 10

10mg TDS for 7 days max

Question 11

What are the weight and age restrictions for Domperidone

Answer 11

minimum: weight 35kg

minimum age: 12 years old

Question 12

What is a side effect of Domperidone

Answer 12

QT prolongation

Question 13

Why should you not use Metoclopramide in Parkinson’s Nausea and Vomiting

Answer 13

it causes extrapyramidal side effects

Question 14

What is the dose and restrictions of Metoclopramide

Answer 14

10mg TDS

minimum age: 18 years
maximum use: 5 days