skip to main content
Idioma:
Primo Search
Clear Search Box
Search in: Busca Geral
Busca Avançada
Busca por Índices

ABC of palliative care: Nausea, vomiting, and intestinal obstruction

Baines, Mary J

BMJ, 1997-11, Vol.315 (7116), p.1148-1150 [Periódico revisado por pares]

England: British Medical Journal Publishing Group

Texto completo disponível

Citações Citado por
  • Título:
    ABC of palliative care: Nausea, vomiting, and intestinal obstruction
  • Autor: Baines, Mary J
  • Assuntos: Abdomen ; Antiemetics ; Anxiety ; Cancer ; Cancer therapies ; Chemotherapy ; Clinical Review ; Community health care ; Constipation ; Digestive system ; Dopamine ; Dosage ; Drug dosages ; Gastrointestinal agents ; Humans ; Hypodermoclysis ; Intestinal Neoplasms - therapy ; Intestinal obstruction ; Intestinal Obstruction - therapy ; Medical disorders ; Motility ; Narcotics ; Nausea ; Nausea - drug therapy ; Nausea - etiology ; Ostomy ; Pain ; Palliative care ; Palliative Care - methods ; Radiation therapy ; Receptors ; Surgery ; Symptoms ; Vomiting ; Vomiting - drug therapy ; Vomiting - etiology
  • É parte de: BMJ, 1997-11, Vol.315 (7116), p.1148-1150
  • Notas: href:bmj-315-1148.pdf
    ark:/67375/NVC-82TRH9Z3-Z
    local:bmj;315/7116/1148
    PMID:9374893
    istex:FB32D877BC5244D02E716610208EB52E0881D1F2
    ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-3
    content type line 23
    ObjectType-Review-1
  • Descrição: Management Common causes of vomiting in patients with advanced cancer Drugs Especially opioids and chemotherapy Gastric causes Gastritis or ulceration Functional gastric stasis due to external pressure Carcinoma of stomach Gastroduodenal obstruction Constipation Intestinal obstruction Biochemical causes Renal failure Hypercalcaemia Infection Tumour toxins Raised intracranial pressure Vestibular disturbance Abdominal or pelvic radiotherapy Anxiety Cough induced Nausea can be treated with oral drugs, but alternative routes are needed for patients with severe vomiting. Antiemetic Dose (per 24 hours) * Main site of action Prokinetics Metoclopramide [dagger] 30-80 mg Increase peristalsis in upper gut, also dopamine antagonists Domperidone 30-80 mg Cisapride Increase peristalsis in upper gut, also dopamine antagonists Cisapride 20-30 mg Increases peristalsis in gut Antihistamines Cyclizine [dagger] 150 mg Vestibular and vomiting centres Butyrophenones Haloperidol [dagger] 1.5-10 mg Blocks dopamine receptors at chemoreceptor trigger zone Phenothiazines Methotrimeprazine [dagger] 12.5-75 mg Blocks dopamine and serotonin receptors at chemoreceptor trigger zone, also acts at vestibular and vomiting centres 5-HT3 receptor antagonists Ondansetron [dagger] 8-16 mg Blocks 5-HT3 receptors at area postrema and in gut Corticosteroids Dexamethasone [dagger] 8-20 mg Reduces inflammatory oedema, also central and peripheral antiemetic effects Anticholinergics Hyoscine butylbromide [dagger] 60-300 mg Reduces gastrointestinal secretions and motility Somatostatin analogues Octreotide [dagger] 300-600 μg Reduces gastrointestinal secretions and motility * A single dose will be about a third of this dose [dagger] Can be given as subcutaneous infusion Functional gastric stasis-A prokinetic drug such as metoclopramide, domperidone, or cisapride should be used.
  • Editor: England: British Medical Journal Publishing Group
  • Idioma: Inglês
Links
Voltar para lista de resultados
Ir para página anteriorAnterior Resultado  5 AvançarIr para próxima página

  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

Buscando em bases de dados remotas. Favor aguardar.