Nausea and vomitting Flashcards

1
Q

What is the treatment for nausea and vomiting in adults?

A

Ondansetron 4mg Oral

  • repeat 4mg @ 5-10 min
  • max 8mg

OR

Ondansetron 8mg IV

If contra to ondans

Prochlorperazine 12.5mg IM

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2
Q

What are the contraindications for Ondansetron

A
  1. Hypersensitivity
  2. Long QT syndrome
  3. hypokalaemia, hypomagnesia
  4. Concurrent use of Apomorphine use
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3
Q

What are the contraindications for stemetil

A
  1. Hypersensitivity
  2. Under 21
  3. Pregnant
  4. Circulatory collapse
  5. CNS depression
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4
Q

What are the precautions for ondansetron

A
  1. pts with liver disease should not recieve more that 8mg per day
  2. care should be taken with patients on diuretics who may have underlying electrolyte imbalance
  3. Concurrent useof tramadol
  4. pregnancy
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5
Q

what are some side effects of ondans

A
Q-T prolongation
Widened QRS complex
- Tachyarythmias
- Seizures
- Extrapyramidal reactions
- Constipation
- headache
- fever
- dizziness
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6
Q

What is the onset peak and duration for ondans ORAL

A

onset - 2min
peak - 20 mins
duration - 120 mins

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7
Q

What is the onset peak and duration for ondans IV

A

onset - 5min
peak - 10 mins
duration - 2.6 - 6.1 hours

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8
Q

What are the precautions for prochlorperazine

A
  1. hypotension
  2. epilepsy
  3. pts on alcohol or anti-depressants
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9
Q

What are the side effects for prochlorperazine

A
drowsiness
blurred vision
hypotension
sinus tachy
skin rash
extrapyrimidal reactions
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10
Q

What is the onset peak and duration for stemetil

A

onset - 20 min
peak - 40 min
duration - 6 hours

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