nausea and vommiting CGP

Question 1

what are the clinical signs of dehydration?

Answer 1

posteral perfusion changes including tachycardia, hypotension and dizziness
decreased sweating nd urnation
poor sinf tugor, dry mouth and tounge
fatige and altered concious stae
evidecne of poor fluid intake compared to loss

Question 2

what is included in undifferentiated nausea and vommiting?

Answer 2

• secondary to cardiac chest pain, opiods, cytotoxic drugs, sevre astro

Question 3

what can fluids do in nauseas paitens?

Answer 3

can help with nausea and vomitting and shpuld be considered unless contraindicated such as with cardiac or renal failure

Question 4

how can ondansertrone be administered?

Answer 4

ODT
IV
if no IV and no orally can adminster a 4 mg IM dose if symptoms are extreme times 2 to toatl 8mg

Question 5

how many people have long Q- T syndrome?

Answer 5

1 in 2500 paitnes

Question 6

what routes can proclorzopine be adminstered?

Answer 6

only IM

Question 7

what needs to be assesed for?

Answer 7

nausea and vomiting, potentail spinal injury, potential eye trauma, potential motion sickness, virtigo

Question 8

what can be given for undifferentiated nausea and vomitting?

Answer 8

4 mg ODT ondansertrone
repate at 5-10 minutes for max 8mg

if IV then ondansertrone 8mg IV slow push over 30 seconds

if contraindiacted for ondansertrone - IM procloreazine 12.5 mg IM

Question 9

what can be given for dehydration?

Answer 9

less than adequate- normal saline max 40ml/kg titrated to response- consult for further, if unable to then another 20ml/kg max 60ml/kg

adequate perfusion 20ml/kg pushed over 30 minutes

Question 10

what are the containdiactions for ondansertrone?

Answer 10

hypersensitivity, long q-t syndrome, taking apomorphine, hypomagnesia or hypokalemia

Question 11

what are the contraindications for proclorzapine

Answer 11

hypersensitivity
cns depression
circulatory collapse - cpc, tachycardia, hypotension, pt under 21, pregnancy