Nausea and Vomiting Pharm

Question 1

What is the high-emetogenic regimen for chemo induced N/V?

Answer 1

1. NK1 receptor antagonist (pitant)
2. 5-HT receptor antagonist (setron)
3. Corticosteroid

Question 2

What may be added to the high-emetogenic regimen for chemo induced N/V?

Answer 2

• Add olanzapine (D2 antagonist)
• Add cannabinoid in treatment resistance
• Provide therapy for breakthrough N/V for all patients
• Provide therapy for anticipatory N/V as needed

Question 3

What is the moderate emetogenic regimen for chemo induced N/V?

Answer 3

1. 5-HT receptor antagonist (setron)

2. Corticosteroid

Question 4

What may be added to the moderate emetogenic regimen for chemo induced N/V?

Answer 4

• Add NK1 antagonist or olanzapine (pritant)
• Add cannabinoid in treatment resistance
• Provide therapy for breakthrough N/V for all patients
• Provide therapy for anticipatory N/V as needed

Question 5

What is the low emetogenic regimen?

Answer 5

1. Corticosteroid
2. 5-HT receptor antagonist
3. Metoclopramide
4. Prochlorperazine

Question 6

What may be added to the low emetogenic regimen?

Answer 6

• Provide therapy for breakthrough N/V for all patients

- Provide therapy for anticipatory N/V as needed

Question 7

What can be given for motion sickness?

Answer 7

• Scopolamine or dimenhydrinate or meclizine

Question 8

What can be given for vertigo?

Answer 8

• Meclizine or cyclizine

Question 9

What can be given for diabetic gastroparesis?

Answer 9

• Metoclopramide

Question 10

What can be given for pregnancy induced N/V?

Answer 10

1. Vitamin B6 or histamine antagonist or 5-HT antagonist
2. Dopamine antagonist
3. Steroid or different dopamine antagonist