Nausea and Vomiting

Question 1

Where is the vomiting center?

Answer 1

Medulla oblongata

Question 2

What causes motion sickness?

Answer 2

Overstimulation of labyrinth

Question 3

How do you treat motion sickness?

Answer 3

Antihistamine

Question 4

What should be the 1st line Tx for nausea/vomiting for pregnant women?

Answer 4

Pyridoxine (Vit. B6)

Question 5

What nerve is involved in acute gastroenteritis?

Answer 5

Visceral afferent nerve

Question 6

How do you treat acute gastroenteritis?

Answer 6

Oral rehydration solution (Pedialyte)

Question 7

How do you treat overeating symptoms?

Answer 7

1. Phosphorated carb solution
2. Pepto-Bismol
3. H2RAs

Question 8

When should you refer pts when they are vomiting?

Answer 8

> 5% weight loss

Question 9

How can you make your own ORS?

Answer 9

1/2 tsp salt + 6 tsp sugar + 1L water

Question 10

Is Gatorade okay for ORS, why or why not?

Answer 10

Nope, too much sugar

Question 11

When should you use ORS?

Answer 11

10 min. after vomiting

Question 12

How often should you drink the ORS after vomiting?

Answer 12

Kids = 5cc every 5 min

Older Kids or adults = 15cc every 5 min

Question 13

What is the only off label RX for motion sickness?

Answer 13

Doxylamine

Question 14

Meclizine + Motion sickness

Answer 14

≥12 yrs; 25 to 50mg 1 hr before travel

Less sedating than doxylamine + benadryl

Question 15

AE with Antihistamines?

Answer 15

1. Thickens bronchial secretions
2. Dilates pupils
3. Urinary retention

Question 16

What wrong with using antihistamines + lactating women?

Answer 16

Reduces milk production

Question 17

What wrong with using Pepto-Bismol + lactating women?

Answer 17

Salicylate excreted in breast milk

Question 18

Whats wrong with using Ginger + lactating women?

Answer 18

Little evidence to support

Question 19

Whats a non-pharmacological item used in pregnant women?

Answer 19

Ginger

Question 20

Who should avoid using acupressure bands for NVP?

Answer 20

Peeps with pacemaker

Question 21

Exclusions + NVP

Age?

Answer 21

<1 yrs old

Question 22

Exclusions + NVP

Duration?

Answer 22

> 24 to 48 hrs

Question 23

Rapid, forceful expulsion of GI contents

Nausea
Retching
Vomiting

Answer 23

Vomiting

Question 24

Involuntary diaphragm and abdominal contractions (dry heaves)

Nausea
Retching
Vomiting

Answer 24

Retching

Question 25

Subjective feeling of a need to vomit.

Nausea
Retching
Vomiting

Answer 25

Nausea

Question 26

Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would Meclizine go?

Answer 26

Motion sickness

Question 27

Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would Benadryl go?

Answer 27

Motion sickness

Question 28

Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would Vit. B6 w/ or w/o doxylamine go?

Answer 28

N/V of pregnancy

Question 29

Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would ginger go?

Answer 29

N/V of pregnancy

Question 30

Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would Pedialyte go?

Answer 30

Gastroenteritis + dehydration

Question 31

Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would Pepto-Bismol go?

Answer 31

Overeating

Question 32

Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would coke syrup or Emetrol go?

Answer 32

Overeating