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Questions and Answers
A patient is receiving chemotherapy with cisplatin and experiencing severe nausea and vomiting. Which medication is most effective in preventing this adverse effect?
A patient is receiving chemotherapy with cisplatin and experiencing severe nausea and vomiting. Which medication is most effective in preventing this adverse effect?
Which medication class is primarily responsible for preventing motion sickness?
Which medication class is primarily responsible for preventing motion sickness?
A patient is receiving chemotherapy with cisplatin and experiencing severe nausea and vomiting. Which administration route of ondansetron is most effective?
A patient is receiving chemotherapy with cisplatin and experiencing severe nausea and vomiting. Which administration route of ondansetron is most effective?
Which of the following is a reason to administer metoclopramide (Reglan) postoperatively?
Which of the following is a reason to administer metoclopramide (Reglan) postoperatively?
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Which medication is used to treat mild to moderate nausea and vomiting associated with anesthesia and surgery?
Which medication is used to treat mild to moderate nausea and vomiting associated with anesthesia and surgery?
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What is the primary mechanism of action of metoclopramide (Reglan) in preventing nausea and vomiting?
What is the primary mechanism of action of metoclopramide (Reglan) in preventing nausea and vomiting?
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Which medication class is used to treat nausea and vomiting related to pregnancy, postsurgical state, chemotherapy, and bowel obstruction?
Which medication class is used to treat nausea and vomiting related to pregnancy, postsurgical state, chemotherapy, and bowel obstruction?
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A patient is experiencing severe, chemotherapy-induced nausea and vomiting (CINV). Which medication should be administered for the best chance of preventing further episodes?
A patient is experiencing severe, chemotherapy-induced nausea and vomiting (CINV). Which medication should be administered for the best chance of preventing further episodes?
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Which positioning technique is effective for children suffering from motion sickness?
Which positioning technique is effective for children suffering from motion sickness?
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What is a misconception regarding motion sickness in children?
What is a misconception regarding motion sickness in children?
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When discussing nausea and vomiting during pregnancy, which statement is true?
When discussing nausea and vomiting during pregnancy, which statement is true?
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Which factor increases the likelihood of nausea and vomiting during pregnancy?
Which factor increases the likelihood of nausea and vomiting during pregnancy?
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Which of the following statements about treating vomiting in young children is accurate?
Which of the following statements about treating vomiting in young children is accurate?
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What is the primary role of benzodiazepines in relation to chemotherapy?
What is the primary role of benzodiazepines in relation to chemotherapy?
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What condition is characterized by nausea experienced immediately upon entering a chemotherapy clinic?
What condition is characterized by nausea experienced immediately upon entering a chemotherapy clinic?
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Which herb is commonly used across many cultures to relieve nausea associated with pregnancy?
Which herb is commonly used across many cultures to relieve nausea associated with pregnancy?
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When a patient is taking a cannabinoid during chemotherapy, what important consideration should the nurse keep in mind?
When a patient is taking a cannabinoid during chemotherapy, what important consideration should the nurse keep in mind?
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What is the time frame for delayed emesis to occur after chemotherapy administration?
What is the time frame for delayed emesis to occur after chemotherapy administration?
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What is the likely cause of a patient's nausea triggered by seeing or smelling the clinic prior to receiving chemotherapy?
What is the likely cause of a patient's nausea triggered by seeing or smelling the clinic prior to receiving chemotherapy?
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Which of the following substances is known to potentially interact with the effects of cannabinoids?
Which of the following substances is known to potentially interact with the effects of cannabinoids?
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Which statement about the use of benzodiazepines during chemotherapy is false?
Which statement about the use of benzodiazepines during chemotherapy is false?
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Which patient is most likely to experience postoperative nausea and vomiting (PONV)?
Which patient is most likely to experience postoperative nausea and vomiting (PONV)?
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Which medication is associated with the lowest risk of adverse reactions?
Which medication is associated with the lowest risk of adverse reactions?
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What role does the chemoreceptor trigger zone (CTZ) play in the vomiting process?
What role does the chemoreceptor trigger zone (CTZ) play in the vomiting process?
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Why is drug therapy important for managing nausea and vomiting?
Why is drug therapy important for managing nausea and vomiting?
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Which of the following patients would be least likely to experience nausea and vomiting after surgery?
Which of the following patients would be least likely to experience nausea and vomiting after surgery?
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What autonomic symptoms are typically observed with vomiting?
What autonomic symptoms are typically observed with vomiting?
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Which statement about PONV in children is accurate?
Which statement about PONV in children is accurate?
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What is the primary reason why hydration is important in patients experiencing vomiting?
What is the primary reason why hydration is important in patients experiencing vomiting?
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Which medication is the preferred choice for treating hyperemesis gravidarum?
Which medication is the preferred choice for treating hyperemesis gravidarum?
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In which scenario is dexamethasone primarily used?
In which scenario is dexamethasone primarily used?
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Why does the nurse monitor daily weights before administering antiemetic medications to chemotherapy patients?
Why does the nurse monitor daily weights before administering antiemetic medications to chemotherapy patients?
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What is a key advantage of using benzodiazepines in nausea and vomiting treatments for chemotherapy patients?
What is a key advantage of using benzodiazepines in nausea and vomiting treatments for chemotherapy patients?
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Which of the following is NOT an autonomic symptom associated with vomiting?
Which of the following is NOT an autonomic symptom associated with vomiting?
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How does maintaining daily weight records benefit the management of chemotherapy patients?
How does maintaining daily weight records benefit the management of chemotherapy patients?
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Which of the following statements about the effects of metoclopramide is accurate?
Which of the following statements about the effects of metoclopramide is accurate?
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Which symptom is unlikely to be monitored for relation to vomiting?
Which symptom is unlikely to be monitored for relation to vomiting?
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Flashcards
Positioning Techniques for Motion Sickness
Positioning Techniques for Motion Sickness
Methods like facing forward and blocking views can help children with motion sickness.
Motion Sickness Reality
Motion Sickness Reality
Motion sickness is a legitimate condition, not a myth or made-up issue.
Benadryl Use for Nausea
Benadryl Use for Nausea
Benadryl is not effective for treating nausea or vomiting in children.
Hyperemesis Gravidarum
Hyperemesis Gravidarum
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Nausea Timing in Pregnancy
Nausea Timing in Pregnancy
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Antianxiety Effect
Antianxiety Effect
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Benzodiazepines
Benzodiazepines
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Anticipatory Nausea and Vomiting (ANV)
Anticipatory Nausea and Vomiting (ANV)
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Delayed Emesis
Delayed Emesis
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Ginger for Nausea
Ginger for Nausea
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Cannabinoid Considerations
Cannabinoid Considerations
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No Dietary Restrictions with Cannabinoids
No Dietary Restrictions with Cannabinoids
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CINV Prevention
CINV Prevention
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Ondansetron
Ondansetron
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Prochlorperazine
Prochlorperazine
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Anticholinergic Agents
Anticholinergic Agents
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Metoclopramide (Reglan)
Metoclopramide (Reglan)
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Motion Sickness Prevention
Motion Sickness Prevention
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Corticosteroids for Nausea
Corticosteroids for Nausea
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Dopamine Receptor Antagonist
Dopamine Receptor Antagonist
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Autonomic Symptoms of Vomiting
Autonomic Symptoms of Vomiting
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Metoclopramide
Metoclopramide
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Daily Weights for Chemotherapy Patients
Daily Weights for Chemotherapy Patients
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Effects of Chemotherapy
Effects of Chemotherapy
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Benzodiazepines for Nausea and Vomiting
Benzodiazepines for Nausea and Vomiting
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THC (Marinol)
THC (Marinol)
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Haloperidol (Haldol)
Haloperidol (Haldol)
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Dexamethasone
Dexamethasone
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Postoperative Nausea and Vomiting (PONV)
Postoperative Nausea and Vomiting (PONV)
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PONV Risk Factors
PONV Risk Factors
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Chemoreceptor Trigger Zone (CTZ)
Chemoreceptor Trigger Zone (CTZ)
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Drug Therapy for Nausea
Drug Therapy for Nausea
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Spinal Anesthesia
Spinal Anesthesia
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Adverse Effects of Antiemetics
Adverse Effects of Antiemetics
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Study Notes
Chemotherapy-Induced Nausea and Vomiting (CINV)
- Cisplatin is a chemotherapy drug that often causes severe nausea and vomiting.
- Ondansetron is a medication most effective for preventing CINV caused by cisplatin.
- Anticholinergic agents, like diphenhydramine or meclizine, are not as effective as ondansetron for preventing CINV from cisplatin.
- Prochlorperazine is not the best treatment for preventing chemotherapy-induced nausea and vomiting.
- Metoclopramide (Reglan) is an antiemetic used to prevent postoperative nausea and vomiting.
- Metoclopramide works by increasing gastrointestinal motility.
Motion Sickness
- Anticholinergics are the most effective treatment for motion sickness.
- Serotonin antagonists are used to treat nausea and vomiting associated with cancer chemotherapy, radiation therapy, and postoperative procedures.
Postoperative Nausea and Vomiting (PONV)
- Metoclopramide is effective in preventing PONV.
- Metoclopramide acts on dopamine and serotonin receptors in the brain and gastrointestinal tract.
- Metoclopramide increases sphincter tone in the gastrointestinal tract.
Hyperemesis Gravidarum
- Metoclopramide is the drug of choice to treat hyperemesis gravidarum.
Managing Nausea and Vomiting in Chemotherapy Patients
- Daily monitoring of weight is important in chemotherapy patients, as weight loss can necessitate dosage adjustments for antiemetic medications.
- Antihistamines, alcohol, analgesics, benzodiazepines, and other drugs can increase the risk of toxic effects when combined with antiemetics.
Anticipatory Nausea and Vomiting
- Anticipatory nausea and vomiting can be triggered by the sight or smell of the clinic or hospital.
- Anticipatory nausea and vomiting is a conditioned response.
- Delayed emesis can occur 24–120 hours after chemotherapy treatment.
Considerations for Pediatric Patients
- Positioning techniques, such as having the child face forward and blocking out the scenery, can be helpful for car sickness in young children.
- Over-the-counter medication should be used with caution in young children.
Herbs for Nausea Relief
- Ginger has traditionally been used to treat pregnancy-induced nausea.
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Description
This quiz covers key concepts relating to chemotherapy-induced nausea and vomiting (CINV), motion sickness, and postoperative nausea and vomiting (PONV). Explore how different medications, such as ondansetron and metoclopramide, are used to manage these conditions effectively. Test your understanding of the pharmacological interventions for nausea and vomiting in various medical contexts.