SE of cancer Flashcards
1
Q
What are the features N&V caused by gastric stasis/irritation?
A
Early satiety Epigastric fullness Hiccups Heartburn Minimal N between V Large vol Feel better afterwards
2
Q
What are the features N&V caused by toxins?
A
Persistent/intermittent nausea
Small vomits/possets
Retching
Drug induced
3
Q
What are the possible causes of toxin induced N&V?
A
Drugs (Opioids*, Digoxin, anti epileptics, chemo) HyperCa Uraemia Infections (UTI, pneumonia) Organ failure
*Sick when first started but settles down
4
Q
What are the possible causes of gastric stasis induced N&V?
A
Hepatomegaly/ascites Autonomic failure Caused by tumour Squashed stomach= dysmotility Gastritis- NSAIDs
5
Q
What are the features N&V caused by cerebral problems?
A
Raised ICP Early morning headache Vomiting may be little nausea Associated neuro signs Sights & smells may trigger
6
Q
What can cause constipation in cancer patients?
A
Drugs (Opioids) Bowel pathology Hypercalcaemia Reduced food/fluid intake Immobility
7
Q
What are the symptoms of bowel obstruction in cancer patients?
A
High incidence in ovarian & bowel Ca N&V Colicky pain Abdo distension Dull aching pain Diarrhoea/constipation
8
Q
How do opioids aid in breathlessness?
A
Dec respiratory effort & therefore breathlessness
9
Q
What are the 4 types of N&V?
A
Gastric stasis
Toxins
Vestibular
Cerebral
