Nausea & Vomiting 5.2011 Student
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Transcript of Nausea & Vomiting 5.2011 Student
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Nausea & VomitingDarrell R. Latva, D.P.M.Founder: Mt. Sinai Residency
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At least after death youre not nauseous Woody Allan in Sleeper
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The Goals and Objectives for Today:IntroductionPhysiologyHistory, History, HistoryTreatment
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Introduction
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CommonMultifactorial$ $ $ + TimeBut most importantly is.?
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Physiology
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History, History, History
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Who needs prophylaxis?The Duke University studyFactors under your controlFactors not under your controlMulti-modal therapy: a concept that works
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Treatment of PONV
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Somewhere around eighteen drugs have been utilized, at one time or another, to treat PONV. These include
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SteroidsDexamethasoneButyrophenones (D2 antagonist)Droperidol (Black box!)Benzamides (D2 antagonist)MetoclopramideAntihistamines (H1 antagonist)PromethazineM1 antagonistsScopolamine5HT3 antagonistsOndansetronNK1 antagonist (SPA)Aprepitant
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The End!