37 Free CNA Practice Exam 2014 Questions and Answers on Vomiting

Nausea is an uneasiness of the stomach that often comes before vomiting while vomiting is the forceful expulsion of the contents of one’s stomach through the mouth and sometimes the nose. According to many specialists, vomiting always is manifestation of unhealthy body. It is not a disease but it’s a symptoms of many other diseases. So nursing assistant should pay attention to their patient regularly so as to prevent this syndrome as soon as possible. For providing the NA with sufficient knowledge of vomiting and its treatment, 37 Free CNA Practice Exam 2014 Questions and Answers on Vomiting present the probable causes of nausea or vomiting and suggest some methods for NA to treat it. With some simple actions such as ticking each free CNA test questions, submitting and checking the instant answers, you will quickly accumulate the techniques to prevent patients from unceasing vomiting. It’s too useful to miss! Practice now!

To view full questions and answers, please visit our site at here: https://hapiland.net/8430/37-free-cna-practice-exam-2014-questions-and-answers-on-vomiting/ 

37 Free CNA Practice Exam 2014 Questions and Answers on Vomiting

Phenothiazine (Chlorpromazine), Butyrophenones (Haloperidol)

• Used to decrease GI hypersensitivity to decrease nausea.
• Agonizes motilin receptors. Downside is chronic use can lead to bacterial resistances.
• 5HT3 antagonists that can cause QT elongation, but can be used with general N/V.
• D2 BLOCKERS that are usually used in schizophrenia, and can be used to prevent Nausea and vomiting. Very strong antiemetic agent.

NK1 inhibitors

• Cannabinoids that needs refrigeration. CIII/3 for chemotherapy induced NV.
• inhibiton of Substance P. Aprepitant, Fosaprepitant (Emend/IV) for chemotherapy induced N/V. Used in combination with 5HT3 antagonists and corticosteroids.
• CII/2 For chemotherapy induced NV.
• These antiemetics are not recommended for monotherapy.

Metoclopramide

• These antiemetics are not recommended for monotherapy.
• Ondansetron (Zofran) is generic so it is cheaper.
• Delays gastric emptying BY ENHANCED RESPONSE OF UPPER GI TRACT TO ACETYLE CHOLINE. Bloocks 5HT3 and Dopamine. Don't give to Parkinson's patients. Limit to less than 12 weeks.
• Treatment of High Risk Acute CINV.

Prochlorperazine (Compazine)

• Not part of the CTZ.
• CII/2 For chemotherapy induced NV.
• Most potent phenothiazine.
• Useful in Post Operative N/V.

Metoclopramide

• Avoid this drug in DEMENTIA due to increase of risk of death.
• Treatment for High Risk Delayed CINV.
• Ondansetron (Zofran) is generic so it is cheaper.
• Blackbox warning due to risk of tardive dyskinesia. High risk if elderly diabetic, women.

Phosphorylated Sugars Emetrol (OTC)

• Useful in radiation induced N/V.
• Useful in Post Operative N/V.
• Second Line for Gastroparesis.
• Used to decrease GI hypersensitivity to decrease nausea.

Prochlorperazine (Compazine)

• These antiemetics are not recommended for monotherapy.
• The patch dosage form of this drug cannot be cut in half.
• Ondansetron (Zofran) is generic so it is cheaper.
• 1st generation antipsychotic that is potent sedation compared to Haloperidol.

Dexamethasone+Aprepitant

• Useful in radiation induced N/V.
• CII/2 For chemotherapy induced NV.
• Treatment of High Risk Acute CINV.
• Treatment for High Risk Delayed CINV.

5HT3 Antagonists

• Useful in radiation induced N/V.
• Dolasetron, Granisetron, Ondasetron
• Not part of the CTZ.
• Second Line for Gastroparesis.

Metoclopramide

• First line for Gastroparesis. Use for 12 weeks and less.
• Treatment for High Risk Delayed CINV.
• Second Line for Gastroparesis.
• Useful in N/V associated with sea sickness.

CTZ

• Used for chemotherapy Nausea/Vomiting and needs to be refrigerated.
• The major chemosensory organ for emesis and is located outside the BBB so it can detect toxic particles.
• These antiemetics are not recommended for monotherapy.
• The patch dosage form of this drug cannot be cut in half.