Nausea + Vomitting Flashcards
Causes of N+V
Stomach flu
Motion sickness
Drug-induced
Pregnancy
Migraine
Drug induced causes
Opiates
Plan B
Antibiotics
NSAIDs
CCB
Common medications for N+V
Gravol (dimenhydrinate) - go to - great for prevention and treatment
Pepto - 2nd line agent
Non-drug treatment option for motion sickness
Fresh air/breath deeply
Sit in middle of ship or plane
Use of dimenhydrinate for motion sickness
Prevention of relief
NOT indicated for stomach flu
Dosing of dimenhydrinate for motion sickness
Initial: take 30 min before departure
Can give to children if needed
Side effects of dimenhydrinate
Constipation
Dry mouth
Dizziness
Anti-cholinergic and antihistamine use for motion sickness
Motion sickness is caused by stimulus from the inner ear - cholinergic histaminic
Add meds to do the opposite effect
What is scopolamine?
A patch applied behind the ear 12 hours before travel (for motion sickness)
Works for 3 days
BUT is discontinued
Side effects of scopolamine
Sedation and dry mouth
What is meclizine?
Antihistamine/anticholinergic
Just as effective as gravol
BUT discontinued (for poor sales)
what is the P6 pressure point?
Point on wrist
Can get wrist band applied to one or both wrists
Fastest immediate value
Is ginger any help for motion sickness?
No more for morning sickness
What is cocculine?
Homeopathic medicine for motion sickness
Psychological only
Cause of N+V in pregnancy
Human chorionic gonadotropin (hCG) levels
Increase between 6th-14th week
