Palliative care
22
DR. DIPTI NABH DR. SHARDA JAIN DR. JYOTI BHASKAR DR. JYOTI
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Transcript of Palliative care
DR. DIPTI NABH DR. SHARDA JAIN DR. JYOTI BHASKAR DR. JYOTI AGARWAL
2015
Our Gift to Doctor’s Community
Review this Lecture and others at:Slideshare.net/lifecarecentre
Non-pharmacological Treatment
Of Nasuea and Vomiting in Pregnancy
Non-pharmacological Treatment of
NVP
‘‘Nausea,’’ refers to seasickness. The word is derived from the
Greek word ‘‘naus,’’ meaning ship.
Supportive Care &Non-pharmacological
TherapyIS
the Initial accepted approach in treatment of Nausea Vomiting in
Pregnancy
MEDICATION TO BE KEPT TO MINIMUM –
EXCEPT FOLIC ACID
The Reason – Not to use Medications
We gynaecologists are Concerned
about the adverse effects of drugs during
Embryonic and early Fetal development
Different modalities available are :-
1 Avoid trigger 2 Diet3 Herbal remedies4 Acupressure / Acupuncture 5 Hypnosis
Various Triggers
• Odour• Noise• Heat• Light• Travelling
NNO MEDICATION PLZ
Diet• Small frequent meals.• Rich in Protein, Carbs.• Lights Snacks• Drinks containing electrolyte &
supplements.
Herbal Therapy
• Ginger• Peppermint• Chamomille
Ginger (Zingiber officinale)Mechanism of action
Ginger
Histamine
Endorphins
Acetylcholine
CannabinoidGABA
Substance P (NK-1)
Serotonin (5-HT3)
Dopamine (D2)
Dose and Formulations1 gm of powdered ginger is equivalent to:-• 1 tsp of freshly grated rhizome.• 4 – 8 oz of pre packaged ginger tea• 8 oz of gingerale • 2 droppers of ginger liquid extract• 1 gm. of ginger in as crystalloid ginger in
divided doses in 24 hrs.
Herbal anti-nauseant & anti-emetic Prevents gastro-oesophageal reflex Safe and reliable in Nausea & Vomiting
in Pregnancy (NVP) Devoid of any side effects
Other Herbs
• No direct investigations of other herbs for treatment of NVP done.
• There are also concerns regarding their safety profile.
• Peppermint is an Emanogouge • Canabis has adverse effect on fetal
development.
Acupressure
Inhibits the nociceptive transmission.Inhibits autonomic reflexesInhibits somotovisceral reflexes.
Life care Bands
Hypnosis
Works through dissociation of content.Works through dissociation context.
No MedicineNo Medicine
No Medicine
Except Folic Acid
So, now you can greet her again
“GOOD MORNING !!”
With all the New Knowledge
Thanks…
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