Term
|
Definition
**not usually GI***
1. Alimentary disorder (irritation, inflamation, motility, mechanial disturbances in GI)
2. hepatobiliary (pancreatitis, obstruction)
3. acute systemic infection
4. CNS disorder (increased ICP, stroke, migraine, finfection, toxins, RT sickness)
5. Labyrinth disorder (motion sickness, infection, Meniere's)
6. Endocine(DKA, adrenocortical crisis, pregnancy, starvation, lactic acidosis
7. GU(uremia, infection, obstruction)
8. CV(MI, CHF)
9. Drugs (narcotics, meperidine, ETOH, anesthetics, anti-cancer)
10. psychological(from pain, fear, displeasure, anxiety, anorexia, bulimia, psychoses)
11. infection
12. radiation |
|
|
Term
| Complications of Vomiting |
|
Definition
1. fluid/electrolyte distrubaces
2. aspiration pneumonia
3. gastroesophageal mucosal tear (Mallory-Weiss Syndrome)
4. malnutrition
5. ruptured esophagus |
|
|
Term
| Duration of severe vomiting |
|
Definition
| more than 10x / 24hrs for more than 3 days |
|
|
Term
| How is simple vomiting treated? |
|
Definition
| nothing, limit intake but taking care not to dehydrate |
|
|
Term
| How is severe vomiting treated? |
|
Definition
1. treat underlying condition
2. fluids and nutrition (NPO)
3. Medication (anihistamines, phenothiazines, metoclopromide, odansetron)
4. sedatives +/- anicholinergics |
|
|
Term
| Pros/cons of medical treatment of vomiting |
|
Definition
**not with pregnancy
*don't mask an illness
antihistamines: good for vestibular issues
phenothiazine/compazine: can be given rectally, used in most cases
metoclopromide/reglan: used for diabetic gastroparesis, n/v of chemo, black box warning for dyskinesia
Odansetron(Zofran): post op, chemo |
|
|
Term
| Treatments of Chemo related emesis |
|
Definition
| 5-HT3 receptor Antagonists |
|
|
