Nausea and vomiting

Nausea and Vomiting

  1. 🔴Vestibular :
    🟣Cholinergic, Histaminic
    👨‍⚕️Anticholinergic, Antihistaminic (Scopolamine patch, Promethazine)
  2. 🔴Obstruction: Bowels, Obstipation: provided it’s partial  ğŸŸ£Cholinergic, Histaminic, likely 5HT3
    👨Rx: Stimulate myenteric plexus : Senna, Bisacodyl (Dulcolax)
  3. 🔴DysMotility of upper gut 🟣Cholinergic, Histaminic, 5HT3, 5HT4  ğŸ‘¨Rx: Prokinetics stimulating 5HT4 : Metoclopramide
  4. 🔴Infection, Inflammation 🟣Cholinergic, Histaminic, 5HT3, Neurokinin 1                                   👨Rx: Anticholinergic, Antihistaminic, 5HT3  antagonists, Neurokinin 1 antagonists : Promethazine (labyrinthitis),  Prochlorperazine
  5. 🔴Toxins stimulating the chemoreceptor trigger-zone 🟣opioids brain such as opioids or chemotherapy Receptors Involved Dopamine 2, 5HT3  ğŸ‘¨Antidopaminergic, 5HT3 Antagonists : Prochlorperazine, Haloperidol, Ondansetron

The Causes of Nausea and Vomiting (V.O.M.I.T.)

 

 

 

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