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OTC Therapy > Nausea and Vomiting > Flashcards

Nausea and Vomiting Flashcards

1
Q

Where is the vomiting center?

A

Medulla oblongata

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2
Q

What causes motion sickness?

A

Overstimulation of labyrinth

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3
Q

How do you treat motion sickness?

A

Antihistamine

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4
Q

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

A

Pyridoxine (Vit. B6)

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5
Q

What nerve is involved in acute gastroenteritis?

A

Visceral afferent nerve

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6
Q

How do you treat acute gastroenteritis?

A

Oral rehydration solution (Pedialyte)

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7
Q

How do you treat overeating symptoms?

A
  1. Phosphorated carb solution
  2. Pepto-Bismol
  3. H2RAs
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8
Q

When should you refer pts when they are vomiting?

A

> 5% weight loss

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9
Q

How can you make your own ORS?

A

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

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10
Q

Is Gatorade okay for ORS, why or why not?

A

Nope, too much sugar

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11
Q

When should you use ORS?

A

10 min. after vomiting

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12
Q

How often should you drink the ORS after vomiting?

A

Kids = 5cc every 5 min

Older Kids or adults = 15cc every 5 min

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13
Q

What is the only off label RX for motion sickness?

A

Doxylamine

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14
Q

Meclizine + Motion sickness

A

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

Less sedating than doxylamine + benadryl

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15
Q

AE with Antihistamines?

A
  1. Thickens bronchial secretions
  2. Dilates pupils
  3. Urinary retention
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16
Q

What wrong with using antihistamines + lactating women?

A

Reduces milk production

17
Q

What wrong with using Pepto-Bismol + lactating women?

A

Salicylate excreted in breast milk

18
Q

Whats wrong with using Ginger + lactating women?

A

Little evidence to support

19
Q

Whats a non-pharmacological item used in pregnant women?

A

Ginger

20
Q

Who should avoid using acupressure bands for NVP?

A

Peeps with pacemaker

21
Q

Exclusions + NVP

Age?

A

<1 yrs old

22
Q

Exclusions + NVP

Duration?

A

> 24 to 48 hrs

23
Q

Rapid, forceful expulsion of GI contents

Nausea
Retching
Vomiting

A

Vomiting

24
Q

Involuntary diaphragm and abdominal contractions (dry heaves)

Nausea
Retching
Vomiting

A

Retching

25
Q

Subjective feeling of a need to vomit.

Nausea
Retching
Vomiting

A

Nausea

26
Q 
Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would Meclizine go?

A

Motion sickness

27
Q 
Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would Benadryl go?

A

Motion sickness

28
Q 
Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

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

A

N/V of pregnancy

29
Q 
Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would ginger go?

A

N/V of pregnancy

30
Q 
Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would Pedialyte go?

A

Gastroenteritis + dehydration

31
Q 
Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would Pepto-Bismol go?

A

Overeating

32
Q 
Motion sickness
Nausea and vomiting of pregnancy
Gastroenteritis
Overeating
Other-mild to moderate dehydration

Where would coke syrup or Emetrol go?

A

Overeating

OTC Therapy (43 decks)

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