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