Nausea and Vomiting Flashcards
Patients with nausea/vomiting should be positioned __________
In the position of comfort that will facilitate the ability of the patient to maintain their own airway
Indications for Gravol administration are: (list 2)
- Prevention or control of nausea caused by administration of narcotics and/or motion sickness.
- Also has a mild sedative effect for patients about to be moved.
Contraindications for gravol administration are:
Known sensitivity to DimenhyDRINATE, DyphenhyDRAMINE or caffeine derivatives.
Gravol (Dimenhydrinate) should be used with caution in patients with: (list 6)
- Increased intraocular pressure / glaucoma.
- Prostatic hyperplasia and urinary obstruction.
- Cardiovascular disease (ischemic heart disease and hypertension).
- Asthma/COPD.
- Elderly due to anticholinergic effect.
- Caution in pregnant women (risk/benefits).
Adult dosing for gravol (dimenhydrinate) is:
25 to 50 mg
12.5 mg in the frail elderly patient
Gravol administration _____ (may / may not) be repeated once.
may be repeated once
Routes for Gravol administration are:
IM and IV
Dimenhydrinate for IV push MUST first be diluted with normal slaine and given at a maximum rate of 25mg/min
IV dimenhydrinate is given as a slow push at a maximum rate of ______ mg/min
25 mg/min
PCPs may only administer dimenhydrinate to patients who are ____ (age range)
12 years old and above
Gravol should be avoided in patients with a head injury because ____________
It may impact the ability to conduct a neurological assessment (causes drowsiness)
IM injections of gravol ___ (do / do not) require dilution with normal saline
do not
Gravol for IV push is commonly diluted to 10mL in N/S. This is not a safe volume of fluid to give by IM injection at any site in the body.
IV fluid administration for correction of dehydration associated with vomiting _____ (is / is not) included in PCP scope of practice.
is not
This intervention is restricted to ACPs and above
