Nausea and Vomiting Flashcards
1
Q
hyperemesis gravidarum
A
- } Severe form of pregnancy-related vomiting
- } 1% occurrence
- } Require rehydration and hospitalization
2
Q
N/V in viral gastroenteritis
A
- Inflammation of the stomach and small intestines
- acute vomiting and diarrhea
- serious consequences from dehydration in pediatrics
- rotavirus and norovirus
- rotavirus vaccine is included in the childhood immunization schedule
3
Q
Nausea (Signs and Symptoms)
A
- Unpleasant sensation associated with vague epigastric and abdominal symptoms
- Usually precedes vomiting
4
Q
Regurgitation
A
- Reverse transit of stomach contents into the pharynx that stops short of oral expulsion
5
Q
Retching
A
Strong, involuntary, unsuccessful effort to vomit
6
Q
Vomiting (emesis)
A
Physical expulsion of stomach, esophageal and oropharyngeal contents
7
Q
Exclusions for Self-Treatment: Adults
A
- High blood-glucose with signs of dehydration
- Suspected severe food poisoning that does not clear after 24 hrs
- Severe abdominal pain in middle or right lower area of abdomen
- N/V with fever or diarrhea
- Blood in vomit
- Yellow skin or eyes, dark urine
- Stiff neck with or without headache and sensitivity to light
8
Q
Exclusions for self treatment (cont.)
A
- Any head injury with N/V, blurry vision, numbness or tingling
- Glaucoma, BPH, COPD, asthma
- Pregnancy (severe symptoms) or breastfeeding
- N/V caused by chemotherapy or radiation
- Adverse effects of drugs or ethanol
- Psychogenic-induced
9
Q
Treatment (Pharmacologic)
A
- Meclizine
- Cyclizine
- Dimenhydrinate
- Diphenhydramine
- Doxylamine*
- Phosphorylated CarbohydrateSolution
- Alternative Therapy: ginger
10
Q
Nonpharmacologic Treatment
A
- Fresh air
- Dry crackers (bland foods)
- Don’t read during travel
- Sit in front seat
- Mechanical devices - acupressure wristbands
- Electronic devices - P6 point acustimulation device