Nausea and Vomiting Flashcards

1
Q

hyperemesis gravidarum

A
  • } Severe form of pregnancy-related vomiting
  • } 1% occurrence
  • } Require rehydration and hospitalization
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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
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3
Q

Nausea (Signs and Symptoms)

A
  • Unpleasant sensation associated with vague epigastric and abdominal symptoms
  • Usually precedes vomiting
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4
Q

Regurgitation

A
  • Reverse transit of stomach contents into the pharynx that stops short of oral expulsion
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5
Q

Retching

A

Strong, involuntary, unsuccessful effort to vomit

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6
Q

Vomiting (emesis)

A

Physical expulsion of stomach, esophageal and oropharyngeal contents

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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
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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
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9
Q

Treatment (Pharmacologic)

A
  • Meclizine
  • Cyclizine
  • Dimenhydrinate
  • Diphenhydramine
  • Doxylamine*
  • Phosphorylated CarbohydrateSolution
  • Alternative Therapy: ginger
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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
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