Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
Drugs: Chemoreceptor trigger zone -> vomiting center
|
Histamine antagonists
Muscarinic antagonists Dopamine antagonists Cannabinoids |
|
Drugs: Stomach / small intestine -> chemoreceptor trigger zone
|
Sphincter modulators
5HT3 antagonists |
|
Drugs: Stomach / small intestine -> vomiting center
|
5HT3 antagonists
|
|
Risk factors / increased level of concern
|
Blood in vomit / "coffee ground" appearance
Stiff neck Severe headache Lethargy Confusion Severe abdominal pain Fever > 101 Diarrhea also present Rapid deep breathing Rapid pulse |
|
Antihistamines
|
Meclizine
Cyclizine Diphenhydramine Doxylamine Dimenhydrinate |
|
Antihistamines: Consequences of use
|
Drowsiness
Dry mouth & eyes Urinary retention Constipation |
|
Bonine
|
Meclizine
|
|
Marezine
|
Cyclizine
|
|
Dramamine
|
Dimenhydrinate
Meclizine (less drowsy) |
|
Accupressure point
|
P6
Neiguan |
|
Morning sickness treatments
|
Antihistamines
Vitamin B6 (pyridoxine) Ginger Phosphorated carbohydrates Preggie-Pops Accupressure |
|
Vitamin B6: Dose
|
10 to 25 mg tid
|
|
Ginger: NMCD rating
|
Possibly effective
|
|
Ginger: MOA
|
Galanolactone acts primarily on 5HT receptor in ileum
Some central action |
|
Ginger: Consequences of use
|
Usually well-tolerated
Doses 5 gm & higher give increased side effects (mostly GI, heartburn, etc.) |
|
Ginger: Dose
|
250 mg qid
|
|
Phosphorated carboyhydrate solutions: MOA
|
Decrease smooth muscle contraction & delay gastric emptying
Dose-dependent effect |
|
Phosphorated carbohydrate solutions: Consequences of use
|
Upset stomach
Large doses: Diarrhea, abdominal pain |
|
Phosphorated carbohydrate solutions: At-risk populations
|
Diabetics
Fructose-intolerant persons |
|
Hangover: Best therapies
|
Hydration
Time |