management of nausea/vomiting by etiology
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Management
- cerebral cortex
- vestibular apparatus
- initial opioid effect -> scopolamine patch
- vestibular disease -> meclizine (Antivert)
- vomiting center
- pain -> diphenhydramine (Benadryl)
- visceral stimuli
- scopolamine patch
- ondansetron (Zofran)
- chemoreceptor trigger zone (CTZ)
- etiology
- medications
- digoxin, theophylline, opioids, chemotherapy, antibiotics, others
- hypercalcemia
- uremia
- medications
- management
- discontinue or adjust medications
- pharmaceutical agents
- etiology
- gastric distension due to medications (GI irritants) i.e. NSAIDs, iron supplements, alcohol, antibiotics
- adjust or discontinue medications
- substitute trilisate
- gastric damage due to tumor infiltration or radiation injury
- infection
- Candida esophagitis -> fluconazole (Diflucan)
- Clostridium colitis -> metronidazole (Flagyl)
- poor motility
- constipation
- stimulant/bulk combination (Senokot, Pericolace)
- obstruction
- constipation
- intrinsic pressure
More general terms
Additional terms
References
- ↑ Frederich M., Multicampus Program in Geriatrics & Gerontology, Syllabus: The Cutting Edge in Palliative Medicine, 2001