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22 Cards in this Set

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  • Back
Which antiemetic groups are used to manage nausea and vomiting of many causes, including surgery, anesthesia and antineoplastic and radiation therapy?
5-HT3 antagonists
phenothiazines
miscellaneous
metoclopramide
trimethobenzamide
Which antihistamine and miscellaneous drugs are used exclusively to prevent motion sickness?
antihistamines
dimenhydrinate
scopolamine
miscellaneous
meclizine
Which group acts on the chemoreceptor trigger zone to inhibit nausea and vomiting?
phenothiazines
Contraindications?
previous hypersensitivity
Use which group cautiously in children who may have viral illnesses?
phenothiazines
No agents are approved for safe use in pregnancy.
okay
Antiemetics have additive CNS depression with other CNS depressants which include? (4)
antidepressants
antihistamines
opioid analgesics
sedative / hypnotics
Phenothiazines may produce ______ when used with antihypertensives, nitrates, or acute ingestion of alcohol.
hypotension
What 4 things should be assessed before and following administration of antiemetics?
nausea
vomiting
bowel sounds
abdominal pain
What should be monitored while on antiemetics?
hydration status
intake and output
Patients with severe nausea and vomiting may require ____ _____ in addition to antiemetics.
IV fluids
Potential Nursing Diagnoses?
(3)
Fluid volume deficit
Nutrition, altered; less than
body requirements
Injury, risk for
For prophylactic administration, follow directions for specific drugs so that peak effect _______ to time of anticipated nausea.
corresponds
_________ should be discontinued 48 hours before and not resumed for 24 hours following myelography, as they lower seizure threshold.
Phenothiazines
What general measures can be taught to patient and family to decrease nausea?
sips of liquids
small, nongreasy meals
oral hygiene
remove noxious stimuli from
environment
Antiemetics may cause drowsiness.
okay
Effectiveness of therapy can be demonstrated by?
prevention of, or decrease in,nausea and vomiting
Name 4 groups of antiemetics?
antihistamines
5-HT3 antagonists
phenothiazines
miscellaneous
Name 2 antihistamines?
dimenhydrinate
{Apo-Dimenhydrinate}, Calm X, Dimetabs, Dinate, Dramamine, Dramanate, {Gravol}, Hydarte, {PMS-Dimenhydrinate}, {Traveltabs}, Triptone Caplets

meclizine Antivert, Antrizine, {Bonamine}, Bonine, Dramamine Less Drowsy Formula, Meni-D, Vergon
Name 3 5-HT3 antagonists?
dolasetron Anzemet

granisetron Kytril

ondansetron Zofran
Name 4 phenothiazines?
chlorpromazine Thorazine

prochlorperazine Compazine, {Stemetil}, Ultrazine

promethazine Anergan, Antinaus, {Histanil}, Pentazine, Phenazine, Phencen-50, Phenergan, Phenergan Fortis, Phenergan Plain, Phenerzine, Phenoject, Pro-50, Promacot, Pro-Med, Promet, Prorex, Prothazine, Shogan, V-Gan

thiethylperazine Norzine, Torecan
Name 4 miscellaneous drugs?
droperidol Inapsine

metoclopramide {Apo-Metoclop}, Clopra, {Emex}, {Maxeran}, Octamide, Octamide-PFS, Reclomide, Reglan

scopolamine Isopto Hyoscine, Transderm-Scp, {Transderm-V}

trimethobenzamide Benzacot, Stemetic, Tebamide, Tigan, Tribenzagam, Trimazide