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15 Cards in this Set
- Front
- Back
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what are the complications of N & V?
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dehydration, electrolyte imbalance,aspiration, malnutrition
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what is the primary concern of treating N & V?
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preventing dehydration and electrolyte imbalance
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If a high fever and abdominal pain accompany N& V what should you suspect?
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It may be appendicitis, refer pt to MD
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what are nonpharmacologic ways to treat N& V?
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replace lost fluids, eat bland meals, rest, avoid precipitating facotrs, acupressure therapy, nerve stimulation technology
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what advice would you give a pregnant women who are suffering from morning sickness?
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stay in bed for 10-15 min after waking, keep saltines near bed and eat a few before getting up, get up slowly, avoid sudden movements, try to breath fresh air, avoid strong ordors
eat several small meals, avoid fluids at mealtime, sip small amts of fluid tra meals, avoid greasy, heavy, fried, and spicy meals |
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what pharmacologic agents are available for N & V?
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antacids, H2RAs (ranitidie,famotidine- not really for N,stomach acid control), antihistamines (depress equilib. centers in inner ear, good for preventing motion sickness), pyridoxine (vit. B6, not available in US),phosphorylated carbohydrate soln (slows down activity in gut, good for N), oral rehydration soln (like Pedialyte-contain electrolytes, a lot lost during V)
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examples of oral rehydration products?
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pedialyte, naturalyte, enfalyte,rehydralyte
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examples of antihistamines products?
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cyclizine, dimenhydrinate, meclizine (1st generation)
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examples of phosphorae carb solns?
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emetrol (safe for pregnant w), nausetrol, nausea relief
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what are the SEs/cautions of antihistamines?
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sedation, dry mouth, blurry vision, constipation, tachycardia, urinary retention, avoid concurrent use of alcohol or other CNS depressants, children may experience excitation, elderly-confusion
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what are 2 brand names for meclizine?
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Bonine
Dramamine Less Drowsy |
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what is a brand name of cyclizine?
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Marezine (original)
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what is a brand of dimeydrinate?
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Dramamine (original)
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what about ginger?
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may be useful, but not recognized by FDA, not consistent, may help in morning sickness, ginger ale probably okay
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what are the risk factors for motion sickness?
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being female
being pregnant being 3-12 yrs old eating before traveling being exposed to offending odors, such as smoke or fumes being anxious at time of travel infants rarely have motion sickness |
