NV

Question 1

Dimenhydrinate

Answer 1

adult- 50-100mg every 4-6 hr
Children- 25-50mg every 6-8 hr
Children 2-6 years
Onset- 15-20min and duration is 4-6 hours

Question 2

Diphenhydramine (sleepy)

Answer 2

adult 25-50mg every 6-8 hr
children 12.5-25mg every 6-8 hr
Not recommended
onset - 15-30 min and duration is 7-12 hours

Both doxylamine and diphenhydramine (DD) have been used as off label treatments for nausea. Side effects- benign prostatic hypertrophy, dry mouth, confusion, dizziness, tremors, and constipation. Caution w/ opiates, psych meds, beta-blockers, and antiarrhythmic

Question 3

Meclizine (if they are driving)

Answer 3

adult-25-50mg 1 hour before travel
Onset- 60min
duration= 24 hours
is the only FDA approved non prescription. Meclizine is less sedating than DD.

Question 4

Doxylamine (sleepy)

Answer 4

In pregnancy, 10-12.5 mg w/or w/-out pyridoxine every 8 hr

Question 5

Ginger-

Answer 5

use for nausea related to pregnancy, motion sickness and surgery, 250mg per day in 3-4 divided dosage. As effective as pyridoxine

Question 6

Pyridoxine-

Answer 6

water soluble B vitamin that is important in various metabolic functions, 1.3-2mg/day. NVP-10-25mg 3 times a day.

Question 7

Acupressure-

Answer 7

pressure on the wrist, pressure can be placed with two fingers or wrist band, vary from as need to 10min 3xday. Can throw off pace maker

Question 8

Aromatherapy-

Answer 8

peppermint oil for NV, does not have reliable evidence to support is efficacy.

Question 9

ORS

Answer 9

ORS- Oral Rehydration Salt, used for dehydration associated with vomiting or diarrhea. Consists of carbohydrates, sodium, potassium, chloride, citrate. Glucose based ORS does not consist of potassium so supplementation of bananas and orange juice should be given.

Question 10

Bismuth Salicylate-

Answer 10

nausea associated with consumption or nonulcer dyspepsia. Nausea, heartburn, and fullness
tarry black stools

Question 11

Antacid-

H2RA-

Answer 11

Antacid- overindulgence in food or beverage or consumption of disagreeable food, relieve acid indigestion and sour stomach
H2RA- overindulgence in food or beverage or consumption of disagreeable food, relieve acid indigestion and sour stomach

Question 12

Phosphorated Carbohydrate Solution

Answer 12

nausea associated with food or beverage. The solution is a mixture of dextrose, levulose, and phosphoric acid. The hyperosmolar solution relieves NV by direct local action on the GI tract wall and decreases smooth muscle contraction

Question 13

Antihistamine-

Answer 13

generally safe and tolerated for nausea and vomiting related to motion sickness- These meds work due to the anticholinergic effects. Pregnant women should avoid
meclizine and DD all are antihistamine