Nausea & vomiting Flashcards
What Phenothiazines are used for emesis
Compro-prochlorperazinePhenergan,Promethagan, Phenadoz-promethazineThorazine-chlorpromazine
What is the generic for Compro & Compazine
prochlorperazine
What is the generic for Phenergan, Promethagan, Phenadoz
promethazine
What is the generic for Thorazine
chlorpromazine
What is the mechanism of action of Phenthiazines
Block DA in the CNS & CTZ
Phenothiazines are contraindicated in which group?
children <2
What are the major side effects of Phenothizaines
CNS: EPS, drowsiness, seizuresanticholinergic effectsskin reactionsrespiratory depression
What is the max daily dose of Prochloperazine
40mg/day Compazine25mg/bid Compro (suppository)
What is the minimum age and weight that Compazine or Compro can be used for
2 years & 10kg
What is the max pediatric dose of Phenergan?
25mg/dose
What other conditions can Phenergan be used for
motion sickness, sedation
Can Phenergan be used for asthma symptoms?
No, contraindicated in all lower respirtory conditions
If a patient has sensetivities to 1 Phenotiazine, can another agent in the same class be used?
No, there is cross reactivity within the class
What is the brand name for scopolamine?
Transderm Scop
How is Transderm Scop used/applyed
1 patch behind ear ?4 hrs before exposure q3d prn (best if 12hrs before)
What is the antidote for EPS due to Phenothiazines?
Benadryl or Benztropine
use of Phenergan via which rout is contraindicated?
SQ & intra-areterial
Phenergan can cause damage to what system no matter the route of administration?
Tissue damage including gangrene
What is the brand name for ondansetron
Zofran
What is the brand name for Granisetron tablets
Kytril
What is the brand name for Granisetron patch
Sancuso
What is the brand name for dolasetron
Anzemet
What is the brand name for palonosetron
Aloxi
5HT3 antagonist have what significant warning
QT prolongation
Side effects for 5HT3 antagonists
HA, drowsiness/dizziness, constipation/diarrhea
Which 5HT3 antagonist is best for CINV 7 why
Sancuso patch (granisetron) because it last for 7 days
What is the half life of Aloxil (palonestron)
40 hours
What OTC item can be used for mornig sickness
Vit B6