Factors associated with Nausea and Vomiting
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Questions and Answers

Which of the following is a risk factor for post-operative nausea and vomiting?

  • Positive smoking history
  • History of motion sickness (correct)
  • Age > 70 years old
  • Use of local anesthetics

    • Which patient characteristic is associated with a higher risk of post-discharge nausea and vomiting (PDNV)?

  • Use of local anesthetics
  • History of motion sickness
  • Positive smoking history (correct)
  • Age > 70 years old

    • Which risk factor is associated with an increased likelihood of post-operative nausea/vomiting after laparoscopic surgery?

  • History of motion sickness (correct)
  • Positive smoking history
  • Age > 70 years old
  • Use of local anesthetics

    • Among the following, which risk factor is NOT associated with an increased risk of post-operative nausea and vomiting?

    <p>Age &gt; 70 years old</p> Signup and view all the answers

    Which patient factor is commonly associated with a higher incidence of post-operative nausea and vomiting after laparoscopic gynecological surgery?

    <p>Use of local anesthetics</p> Signup and view all the answers

    In the context of post-operative nausea and vomiting, which factor is least likely to contribute to the development of symptoms?

    <p>Age &gt; 70 years old</p> Signup and view all the answers

    Which patient-related risk factor is commonly associated with an increased incidence of post-discharge nausea/vomiting?

    <p>Positive smoking history</p> Signup and view all the answers

    Among the following, which is considered a significant patient-related risk factor for post-operative nausea and vomiting after general anesthesia?

    <p>History of motion sickness</p> Signup and view all the answers

    Which factor is known to be a common surgery-related risk factor for the development of post-operative nausea and vomiting?

    <p>Use of local anesthetics</p> Signup and view all the answers

    Which patient-related factor is frequently observed to increase the chances of experiencing post-operative nausea/vomiting?

    <p>Positive smoking history</p> Signup and view all the answers

    Which one of the following factors is NOT associated with an increased risk of nausea and vomiting?

    <p>Positive smoking history</p> Signup and view all the answers

    Which demographic factor is identified as a risk factor for nausea and vomiting according to the references provided?

    <p>Age &gt; 70 years old</p> Signup and view all the answers

    Which medical history factor could contribute to an increased risk of experiencing nausea and vomiting?

    <p>History of motion sickness</p> Signup and view all the answers

    Which clinical scenario is more likely to lead to nausea and vomiting based on the information provided?

    <p>A 75-year-old patient with a history of motion sickness undergoing anesthesia</p> Signup and view all the answers

    Which characteristic is NOT typically associated with patients who are more prone to nausea and vomiting?

    <p>Young age</p> Signup and view all the answers

    In which scenario would the use of local anesthetics potentially lead to nausea and vomiting?

    <p>Local anesthesia for a skin biopsy in an elderly patient</p> Signup and view all the answers

    Which combination suggests a higher likelihood of experiencing nausea and vomiting during a medical procedure?

    <p>Age &gt; 70 years old and local anesthetic use</p> Signup and view all the answers

    Which factor is least likely to be associated with an increased risk of postoperative nausea and vomiting?

    <p>$\text{Positive smoking history}$</p> Signup and view all the answers

    Which patient is generally more susceptible to developing postoperative nausea and vomiting?

    <p>A 70-year-old female with a history of motion sickness receiving general anesthesia.</p> Signup and view all the answers

    In which situation is the risk for nausea and vomiting expected to be lower?

    <p>An 80-year-old patient receiving local anesthesia for a minor procedure.</p> Signup and view all the answers

    Which of the following is considered a risk factor for developing postoperative nausea and vomiting?

    <p>History of motion sickness</p> Signup and view all the answers

    In the context of postoperative nausea and vomiting, which factor increases the risk the most?

    <p>Age &gt; 70 years old</p> Signup and view all the answers

    Which of the following factors is most likely to categorize a patient as high risk for postoperative nausea and vomiting?

    <p>Having more than 4 risk factors</p> Signup and view all the answers

    Among the listed factors, which one is NOT typically associated with an increased risk of postoperative nausea and vomiting?

    <p>No history of motion sickness</p> Signup and view all the answers

    Which factor should be carefully considered in the management of patients prone to postoperative nausea and vomiting?

    <p>Use of local anesthetics</p> Signup and view all the answers

    For a patient with multiple risk factors for postoperative nausea and vomiting, which factor might require closer monitoring during and after surgery?

    <p>Age &gt; 70 years old</p> Signup and view all the answers

    Which of the following factors should prompt consideration for additional prophylactic measures against postoperative nausea and vomiting?

    <p>Use of local anesthetics</p> Signup and view all the answers

    If a patient with multiple risk factors reports a history of intense motion sickness episodes, which combination therapy would be most appropriate for prophylaxis against postoperative nausea and vomiting?

    <p>Scopolamine + Dexamethasone</p> Signup and view all the answers

    Which factor is particularly important to address in surgical patients with a known history of postoperative nausea and vomiting?

    <p>History of motion sickness</p> Signup and view all the answers

    In the context of managing postoperative nausea and vomiting, which patient characteristic should prompt additional evaluation for tailored prophylactic strategies?

    <p>Age &gt; 70 years old</p> Signup and view all the answers

    What is the general definition of nausea?

    <p>A feeling in the throat indicating vomiting is likely</p> Signup and view all the answers

    Which of the following conditions is not listed as a potential cardiovascular etiology of nausea and vomiting?

    <p>Hypertension</p> Signup and view all the answers

    What is the characteristic of simple clinical presentation of nausea and vomiting?

    <p>Requires only symptomatic therapy</p> Signup and view all the answers

    Which of the following is NOT classified as an anticholinergic anti-emetic?

    <p>Promethazine</p> Signup and view all the answers

    'Morning sickness' in pregnancy typically starts at what gestational age?

    <p>6-9 weeks gestation</p> Signup and view all the answers

    What is the recommended nonpharmacologic option to manage nausea and vomiting in pregnancy?

    <p>Changing prenatal vitamins to folic acid only supplement</p> Signup and view all the answers

    'Hyperemesis gravidarum' is characterized by:

    <p>'Persistent vomiting requiring hospitalization'</p> Signup and view all the answers

    'Dimenhydrinate' is used for persistent symptoms of nausea in pregnancy, but it should be discontinued before starting another antihistamine. Which of the following options is another antihistamine also used for persistent symptoms?

    <p>Doxylamine</p> Signup and view all the answers

    'Ondansetron' is used for persistent symptoms of nausea in pregnancy. In what form is it administered?

    <p>'Per os (PO)'</p> Signup and view all the answers

    What is the general characteristic of the complex clinical presentation of nausea and vomiting?

    <p>Weight loss; fever; abdominal pain</p> Signup and view all the answers

    Which anti-emetic medication is associated with the side effect of hypotension?

    <p>Metoclopramide</p> Signup and view all the answers

    What is the correct pharmacologic option for persistent symptoms of nausea and vomiting in pregnancy?

    <p>Ondansetron PO</p> Signup and view all the answers

    Which anti-emetic medication should be discontinued before starting a different antihistamine in pregnancy?

    <p>Doxylamine PO</p> Signup and view all the answers

    Among the listed anti-emetics, which one is classified as an anticholinergic anti-emetic?

    <p>Promethazine</p> Signup and view all the answers

    What is the primary goal of therapy for nausea and vomiting as mentioned in the text?

    <p>Eliminate N/V regardless of the cause</p> Signup and view all the answers

    Which medication is NOT associated with sedation as a side effect among anti-emetics?

    <p>Metoclopramide</p> Signup and view all the answers

    Which anti-emetic medication is linked to QT interval prolongation except for Palonosetron?

    <p>Ondansetron</p> Signup and view all the answers

    What is a common nonpharmacologic option for managing nausea and vomiting in pregnancy according to the text?

    <p>Change prenatal vitamins to folic acid only supplement</p> Signup and view all the answers

    What should be added for persistent symptoms of nausea and vomiting in pregnancy if Pyridoxine (Vitamin B6) alone is insufficient?

    <p>Prochlorperazine PR</p> Signup and view all the answers

    What is the recommended first-line therapy for the treatment of nausea and vomiting in a pregnant woman?

    <p>Ondansetron</p> Signup and view all the answers

    Which medication should be avoided before 10 weeks gestation due to the risk of oral clefts in pregnancy?

    <p>Methylprednisolone</p> Signup and view all the answers

    What is the maximum recommended duration of Methylprednisolone use in pregnancy?

    <p>6 weeks</p> Signup and view all the answers

    Which medication is beneficial in hyperemesis gravidarum but carries a risk of oral clefts if used before 10 weeks gestation?

    <p>Ondansetron</p> Signup and view all the answers

    Which medication is NOT recommended for persistent symptoms of vomiting in pregnancy?

    <p>Metoclopramide</p> Signup and view all the answers

    What is the correct dosage regimen for Methylprednisolone in pregnancy?

    <p>16 mg PO/IV TID x 3 days</p> Signup and view all the answers

    Which medication used for persistent symptoms in pregnancy should be discontinued before starting another antihistamine?

    <p>Dimenhydrinate</p> Signup and view all the answers

    Which of the following is NOT a risk factor for developing postoperative nausea and vomiting?

    <p>Receiving Scopolamine in the evening prior to surgery</p> Signup and view all the answers

    What is the recommended combination therapy for prophylaxis against postoperative nausea and vomiting?

    <p>Aprepitant + Dexamethasone</p> Signup and view all the answers

    What is the timing of administering Aprepitant for prophylaxis against postoperative nausea and vomiting?

    <p>3 hours prior to induction of anesthesia</p> Signup and view all the answers

    Which antiemetic should NOT be re-dosed if more than 6 hours have passed since the initial prophylactic dose?

    <p>Dexamethasone</p> Signup and view all the answers

    Which of the following agents is NOT part of the recommended combination therapy for prophylaxis against postoperative nausea and vomiting?

    <p>Promethazine</p> Signup and view all the answers

    What should be administered if postoperative nausea and vomiting develops after no prophylaxis was initially given?

    <p>Ondansetron via any route</p> Signup and view all the answers

    What percentage risk is associated with being classified as moderate risk?

    <p>40 - 60%</p> Signup and view all the answers

    Which factor is commonly associated with a higher risk of postoperative nausea and vomiting?

    <p>Positive family history</p> Signup and view all the answers

    In the context of nausea and vomiting, which factor is least likely to contribute to the development of symptoms?

    <p>Regular hydration</p> Signup and view all the answers

    Which patient characteristic is commonly associated with an increased incidence of post-discharge nausea and vomiting?

    <p>Female gender</p> Signup and view all the answers

    What demographic factor is identified as a risk factor for nausea and vomiting according to the references provided?

    <p>Age &gt; 70 years old</p> Signup and view all the answers

    In the context of managing postoperative nausea and vomiting, which patient characteristic should prompt additional evaluation for tailored prophylactic strategies?

    <p>History of motion sickness</p> Signup and view all the answers

    Which patient-related risk factor is commonly associated with an increased incidence of post-discharge nausea/vomiting?

    <p>&gt; 70 years old</p> Signup and view all the answers

    'Hyperemesis gravidarum' is characterized by:

    <p>Severe and persistent vomiting during pregnancy</p> Signup and view all the answers

    'Ondansetron' is used for persistent symptoms of nausea in pregnancy. In what form is it administered?

    <p>Intravenous injection</p> Signup and view all the answers

    'Dimenhydrinate' is used for persistent symptoms of nausea in pregnancy. Which factor could prompt its discontinuation before starting another antihistamine?

    <p>Positive family history of motion sickness</p> Signup and view all the answers

    'Morning sickness' in pregnancy typically starts at what gestational age?

    <p>&lt; 12 weeks gestation</p> Signup and view all the answers

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