Nausea and Vomiting Pharmacotherapy Learning Objectives

Which non-pharmacologic treatment option is recommended for simple nausea and vomiting?

What is the recommended prophylactic treatment regimen for high emetic risk chemotherapy-induced nausea and vomiting?

Which agent is considered the 'gold standard' for post-operative nausea and vomiting (PONV) prophylaxis?

What is the appropriate treatment for breakthrough chemotherapy-induced nausea and vomiting (CINV)?

Which type of nausea and vomiting is usually self-limiting and often treated with over-the-counter (OTC) options?

What is the primary goal of treatment for nausea and vomiting?

Which medication is useful in anticipatory nausea and vomiting?

What type of agents are useful in simple nausea and vomiting related to reflux or gastroparesis?

Which non-pharmacologic treatment option is recommended for pregnancy-induced nausea and vomiting?

Which type of receptor antagonist is useful for acute simple, chemotherapy-induced, and post-operative nausea and vomiting?

What is the most common type of prophylactic treatment for post-operative nausea and vomiting (PONV)?

What is the primary goal of treatment for nausea and vomiting?

Which non-pharmacologic approach is recommended for simple nausea and vomiting?

Which pharmacologic agent is useful for simple nausea and vomiting related to reflux?

During which phase of chemotherapy does anticipatory CINV occur?

What is considered the 'gold standard' for PONV prophylaxis?

Which type of nausea and vomiting often resolves on its own and can be treated with OTC options?

What is the preferred treatment for pregnancy-induced nausea/vomiting?

What medication is recommended for breakthrough CINV?

Which agent is useful in refractory CINV?

Which neurotransmitter receptor antagonist is useful in CINV and PONV?

What is the main factor determining the choice of antiemetic agent?

What is a common cause of simple nausea and vomiting?

What is the primary function of the pancreas?

Which cells are of interest in the exocrine function of the pancreas?

What is the average daily volume of alkaline fluid secreted by the pancreas?

Which condition involves an acute inflammatory process of the pancreas?

What is the leading cause of GI hospitalizations in the US?

Which type of cells are involved in the exocrine function of the pancreas?

What is the anatomical location of the pancreas?

What is the function of pancreatic juice?

Which medication is associated with medication-induced pancreatitis?

What is the preferred imaging modality for finding stones in the pancreas?

What is the recommended initial fluid replacement rate for acute pancreatitis?

When are antibiotics routinely recommended for pancreatitis?

Which procedure is indicated for patients with refractory symptoms of chronic pancreatitis?

What is the primary goal of nutritional support in severe acute pancreatitis?

Which of the following is NOT a side effect of pancreatic enzyme supplementation?

What is the best initial approach to pain management in acute pancreatitis?

Which vital signs are consistent with acute pancreatitis?

What do you think is the etiology of this patient’s acute pancreatitis?

Can you diagnose the patient with acute pancreatitis. Why or why not?

What is the overall fatality rate for acute pancreatitis?

What laboratory values should you order to diagnose this patient with acute pancreatitis?

What laboratory values should you order to determine the etiology of acute pancreatitis?

Which of the following medications is NOT associated with medication-induced acute pancreatitis?

What imaging do you want to order?

In acute pancreatitis, which imaging modality is more useful in finding stones?

What is the recommended initial fluid replacement rate in the management of acute pancreatitis?

Which of the following is NOT a goal of therapy in chronic pancreatitis?

Which antibiotic is NOT routinely recommended for prophylaxis in acute pancreatitis?

Which treatment is specifically indicated for gallstone-induced acute pancreatitis?

What is the primary purpose of using pancreatic enzymes in chronic pancreatitis?

What is the primary function of the pancreas gland?

Which cells of the pancreas are responsible for secreting pancreatic juice?

What is the approximate daily volume of alkaline fluid secreted by the pancreas?

Which condition is characterized by an acute inflammatory process of the pancreas?

What is the leading cause of GI hospitalizations in the United States?

Which type of cells are of particular interest in the exocrine functions of the pancreas?

What is the approximate number of enzymes present in the pancreatic juice?

What is the main product of pancreatic juice?

Which vital signs are consistent with acute pancreatitis?

What imaging do you want to order?

Can you diagnose the patient with acute pancreatitis? Why or why not?

What laboratory values should you order to diagnose this patient with acute pancreatitis?

What laboratory values should you order to determine the etiology of acute pancreatitis?

What do you think is the etiology of this patient’s acute pancreatitis?

Which reported symptoms are consistent with acute pancreatitis?

Which items from the physical exam are consistent with acute pancreatitis?

You are the hospital pharmacist in central pharmacy. You see the following orders come through. Are these correct to verify.