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Chapter 20. Nausea And Vomiting

A 52-year-old man presents with chronic lower back pain that he has managed with ibuprofen 400 mg PO three times daily. He reinjured his back moving boxes and 2 days ago was started on hydrocodone 5 mg/acetaminophen 325 mg every 4 hours as needed for pain. He also has a history of hypertension and asthma for which he takes lisinopril 20 mg daily, hydrochlorothiazide 25 mg daily, fluticasone 250 mcg/salmeterol 50 mcg twice daily, and albuterol MDI two puffs as needed for shortness of breath. Today he complains of nausea with one episode of vomiting this morning. What is most likely to be causing his nausea and vomiting?

A. Lisinopril

B. Hydrochlorothiazide

C. Hydrocodone

D. Acetaminophen

E. Fluticasone

All of the following are true regarding nausea except:

A. It is an objective finding

B. It is accompanied by tachycardia

C. It increases salivation

D. It is accompanied by diaphoresis

The adverse effects of doxylamine include:

A. Salivation, diarrhea, insomnia

B. Dry mouth, constipation, drowsiness

C. Salivation, constipation, insomnia

D. Dry mouth, diarrhea, drowsiness

Benzodiazepines are associated with all of the following adverse effects except:

A. Respiratory depression

B. Sedation

C. Dyskinesia

D. Amnesia

A 57-year-old obese woman is scheduled to undergo lengthy abdominal surgery. She smokes one pack of cigarettes per day, does not drink alcohol, and has a history of motion sickness. Which set of risk factors predisposes this patient to postoperative nausea and vomiting (PONV)?

A. Female sex, smoking history, and alcohol history

B. Body habitus, history of motion sickness, and alcohol history

C. Female gender, history of motion sickness, and duration of surgery

D. Body habitus, smoking history, and alcohol history

E. Female gender, history of motion sickness, and smoking history

Nonpharmacologic treatment options for ...

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