Enviar búsqueda
Cargar
Ppt chapter 59
•
Descargar como PPT, PDF
•
5 recomendaciones
•
1,669 vistas
S
stanbridge
Seguir
Denunciar
Compartir
Denunciar
Compartir
1 de 27
Descargar ahora
Recomendados
Ppt chapter 58
Ppt chapter 58
stanbridge
Ppt chapter 57
Ppt chapter 57
stanbridge
Ppt chapter 33
Ppt chapter 33
stanbridge
Ppt chapter 32-1
Ppt chapter 32-1
stanbridge
Ppt chapter 30-1
Ppt chapter 30-1
stanbridge
Ppt chapter 51-1
Ppt chapter 51-1
stanbridge
Ppt chapter 47
Ppt chapter 47
stanbridge
Ppt chapter 45
Ppt chapter 45
stanbridge
Recomendados
Ppt chapter 58
Ppt chapter 58
stanbridge
Ppt chapter 57
Ppt chapter 57
stanbridge
Ppt chapter 33
Ppt chapter 33
stanbridge
Ppt chapter 32-1
Ppt chapter 32-1
stanbridge
Ppt chapter 30-1
Ppt chapter 30-1
stanbridge
Ppt chapter 51-1
Ppt chapter 51-1
stanbridge
Ppt chapter 47
Ppt chapter 47
stanbridge
Ppt chapter 45
Ppt chapter 45
stanbridge
Ppt chapter 41
Ppt chapter 41
stanbridge
Ppt chapter 48
Ppt chapter 48
stanbridge
Ppt chapter 32
Ppt chapter 32
stanbridge
Ppt chapter 28
Ppt chapter 28
stanbridge
Zita-Met (Generic Sitagliptin and Metformin Tablets)
Zita-Met (Generic Sitagliptin and Metformin Tablets)
The Swiss Pharmacy
Ppt chapter 40
Ppt chapter 40
stanbridge
NurseReview.Org - Diuretics Updates (pharmacology worksheets)
NurseReview.Org - Diuretics Updates (pharmacology worksheets)
jben501
Ppt chapter 18
Ppt chapter 18
stanbridge
Drugs used in congestive heart failiure
Drugs used in congestive heart failiure
RishabhSurana23
Cvs drugs new
Cvs drugs new
Fred Ecaldre
Diabetes and Oral hypoglycemic drugs
Diabetes and Oral hypoglycemic drugs
Monika Singh
Antihyperlipidemic.pdf
Antihyperlipidemic.pdf
Jasmine Chaudhary
Ppt chapter 26-1
Ppt chapter 26-1
stanbridge
Ppt chapter 36-1
Ppt chapter 36-1
stanbridge
Calcium channel blockers (1)
Calcium channel blockers (1)
Imaan Mughal
Drugs for Diabetes Mellitus
Drugs for Diabetes Mellitus
Arjun Loganathan
Insulin+and+Oral
Insulin+and+Oral
dhavalshah4424
antihypertensive drugs
antihypertensive drugs
Pushplata Puskar
Ppt chapter 38-1
Ppt chapter 38-1
stanbridge
Advanced practice preparation pharmacokinetics
Advanced practice preparation pharmacokinetics
University of Miami
Ppt chapter 59
Ppt chapter 59
stanbridge
Ppt chapter 16
Ppt chapter 16
stanbridge
Más contenido relacionado
La actualidad más candente
Ppt chapter 41
Ppt chapter 41
stanbridge
Ppt chapter 48
Ppt chapter 48
stanbridge
Ppt chapter 32
Ppt chapter 32
stanbridge
Ppt chapter 28
Ppt chapter 28
stanbridge
Zita-Met (Generic Sitagliptin and Metformin Tablets)
Zita-Met (Generic Sitagliptin and Metformin Tablets)
The Swiss Pharmacy
Ppt chapter 40
Ppt chapter 40
stanbridge
NurseReview.Org - Diuretics Updates (pharmacology worksheets)
NurseReview.Org - Diuretics Updates (pharmacology worksheets)
jben501
Ppt chapter 18
Ppt chapter 18
stanbridge
Drugs used in congestive heart failiure
Drugs used in congestive heart failiure
RishabhSurana23
Cvs drugs new
Cvs drugs new
Fred Ecaldre
Diabetes and Oral hypoglycemic drugs
Diabetes and Oral hypoglycemic drugs
Monika Singh
Antihyperlipidemic.pdf
Antihyperlipidemic.pdf
Jasmine Chaudhary
Ppt chapter 26-1
Ppt chapter 26-1
stanbridge
Ppt chapter 36-1
Ppt chapter 36-1
stanbridge
Calcium channel blockers (1)
Calcium channel blockers (1)
Imaan Mughal
Drugs for Diabetes Mellitus
Drugs for Diabetes Mellitus
Arjun Loganathan
Insulin+and+Oral
Insulin+and+Oral
dhavalshah4424
antihypertensive drugs
antihypertensive drugs
Pushplata Puskar
Ppt chapter 38-1
Ppt chapter 38-1
stanbridge
Advanced practice preparation pharmacokinetics
Advanced practice preparation pharmacokinetics
University of Miami
La actualidad más candente
(20)
Ppt chapter 41
Ppt chapter 41
Ppt chapter 48
Ppt chapter 48
Ppt chapter 32
Ppt chapter 32
Ppt chapter 28
Ppt chapter 28
Zita-Met (Generic Sitagliptin and Metformin Tablets)
Zita-Met (Generic Sitagliptin and Metformin Tablets)
Ppt chapter 40
Ppt chapter 40
NurseReview.Org - Diuretics Updates (pharmacology worksheets)
NurseReview.Org - Diuretics Updates (pharmacology worksheets)
Ppt chapter 18
Ppt chapter 18
Drugs used in congestive heart failiure
Drugs used in congestive heart failiure
Cvs drugs new
Cvs drugs new
Diabetes and Oral hypoglycemic drugs
Diabetes and Oral hypoglycemic drugs
Antihyperlipidemic.pdf
Antihyperlipidemic.pdf
Ppt chapter 26-1
Ppt chapter 26-1
Ppt chapter 36-1
Ppt chapter 36-1
Calcium channel blockers (1)
Calcium channel blockers (1)
Drugs for Diabetes Mellitus
Drugs for Diabetes Mellitus
Insulin+and+Oral
Insulin+and+Oral
antihypertensive drugs
antihypertensive drugs
Ppt chapter 38-1
Ppt chapter 38-1
Advanced practice preparation pharmacokinetics
Advanced practice preparation pharmacokinetics
Similar a Ppt chapter 59
Ppt chapter 59
Ppt chapter 59
stanbridge
Ppt chapter 16
Ppt chapter 16
stanbridge
Ppt chapter 16-1
Ppt chapter 16-1
stanbridge
Ppt chapter 52
Ppt chapter 52
stanbridge
Ppt chapter 52-1
Ppt chapter 52-1
stanbridge
Ppt chapter 35-1
Ppt chapter 35-1
stanbridge
Ppt chapter 35-1
Ppt chapter 35-1
stanbridge
Ppt chapter 35-1
Ppt chapter 35-1
stanbridge
Ppt chapter 57
Ppt chapter 57
stanbridge
Ppt chapter 40
Ppt chapter 40
stanbridge
Ppt chapter 31-1
Ppt chapter 31-1
stanbridge
Ppt chapter 58
Ppt chapter 58
stanbridge
Ppt chapter 36
Ppt chapter 36
stanbridge
Ppt chapter 48
Ppt chapter 48
stanbridge
Ppt chapter 35
Ppt chapter 35
stanbridge
Ppt chapter 36
Ppt chapter 36
stanbridge
Ppt chapter 20
Ppt chapter 20
stanbridge
Ppt chapter 20
Ppt chapter 20
stanbridge
Ppt chapter 46
Ppt chapter 46
stanbridge
Ppt chapter 48
Ppt chapter 48
stanbridge
Similar a Ppt chapter 59
(20)
Ppt chapter 59
Ppt chapter 59
Ppt chapter 16
Ppt chapter 16
Ppt chapter 16-1
Ppt chapter 16-1
Ppt chapter 52
Ppt chapter 52
Ppt chapter 52-1
Ppt chapter 52-1
Ppt chapter 35-1
Ppt chapter 35-1
Ppt chapter 35-1
Ppt chapter 35-1
Ppt chapter 35-1
Ppt chapter 35-1
Ppt chapter 57
Ppt chapter 57
Ppt chapter 40
Ppt chapter 40
Ppt chapter 31-1
Ppt chapter 31-1
Ppt chapter 58
Ppt chapter 58
Ppt chapter 36
Ppt chapter 36
Ppt chapter 48
Ppt chapter 48
Ppt chapter 35
Ppt chapter 35
Ppt chapter 36
Ppt chapter 36
Ppt chapter 20
Ppt chapter 20
Ppt chapter 20
Ppt chapter 20
Ppt chapter 46
Ppt chapter 46
Ppt chapter 48
Ppt chapter 48
Más de stanbridge
Micro Lab 3 Lecture
Micro Lab 3 Lecture
stanbridge
Creating a poster v2
Creating a poster v2
stanbridge
Creating a poster
Creating a poster
stanbridge
Sample poster
Sample poster
stanbridge
OT 5018 Thesis Dissemination
OT 5018 Thesis Dissemination
stanbridge
Ot5101 005 week 5
Ot5101 005 week 5
stanbridge
Ot5101 005 week4
Ot5101 005 week4
stanbridge
Compliance, motivation, and health behaviors
Compliance, motivation, and health behaviors
stanbridge
Ch 5 developmental stages of the learner
Ch 5 developmental stages of the learner
stanbridge
OT 5101 week2 theory policy
OT 5101 week2 theory policy
stanbridge
OT 5101 week3 planning needs assessment
OT 5101 week3 planning needs assessment
stanbridge
Ot5101 week1
Ot5101 week1
stanbridge
NUR 304 Chapter005
NUR 304 Chapter005
stanbridge
NUR 3043 Chapter007
NUR 3043 Chapter007
stanbridge
NUR 3043 Chapter006
NUR 3043 Chapter006
stanbridge
NUR 3043 Chapter004
NUR 3043 Chapter004
stanbridge
3043 Chapter009
3043 Chapter009
stanbridge
3043 Chapter008
3043 Chapter008
stanbridge
Melnyk ppt chapter_21
Melnyk ppt chapter_21
stanbridge
Melnyk ppt chapter_22
Melnyk ppt chapter_22
stanbridge
Más de stanbridge
(20)
Micro Lab 3 Lecture
Micro Lab 3 Lecture
Creating a poster v2
Creating a poster v2
Creating a poster
Creating a poster
Sample poster
Sample poster
OT 5018 Thesis Dissemination
OT 5018 Thesis Dissemination
Ot5101 005 week 5
Ot5101 005 week 5
Ot5101 005 week4
Ot5101 005 week4
Compliance, motivation, and health behaviors
Compliance, motivation, and health behaviors
Ch 5 developmental stages of the learner
Ch 5 developmental stages of the learner
OT 5101 week2 theory policy
OT 5101 week2 theory policy
OT 5101 week3 planning needs assessment
OT 5101 week3 planning needs assessment
Ot5101 week1
Ot5101 week1
NUR 304 Chapter005
NUR 304 Chapter005
NUR 3043 Chapter007
NUR 3043 Chapter007
NUR 3043 Chapter006
NUR 3043 Chapter006
NUR 3043 Chapter004
NUR 3043 Chapter004
3043 Chapter009
3043 Chapter009
3043 Chapter008
3043 Chapter008
Melnyk ppt chapter_21
Melnyk ppt chapter_21
Melnyk ppt chapter_22
Melnyk ppt chapter_22
Ppt chapter 59
1.
Antiemetic Agents Chapter
59 Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
2.
Nausea and Vomiting
• Most common and most uncomfortable complaints. • Vomiting is a complex reflex reaction to various stimuli. • In some cases, it may be desired to induce vomiting. • In many clinical conditions, the reflex reaction of vomiting is not beneficial. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
3.
Managing Nausea and
Vomiting Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins • Emetics – Cause vomiting – No longer recommended for at-home poison control • Antiemetics – Decrease or prevent nausea and vomiting – Centrally acting or locally acting – Varying degrees of effectiveness
4.
Sites of Action
of Emetics/Antiemetics Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
5.
Groups of Centrally
Acting Antiemetics • Phenothiazines • Nonphenothiazines • Anticholinergics/Antihistamines • Serotonin (5-HT3) Receptor Blockers • Substance P/Neurokinin 1 Receptor Antagonists • Miscellaneous Group Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
6.
Phenothiazines Copyright ©
2013 Wolters Kluwer Health | Lippincott Williams & Wilkins • Actions – Depresses various areas of the central nervous system (CNS) • Indications – Treatment of nausea and vomiting • Adverse Effects – Drowsiness
7.
Nonphenothiazines Copyright ©
2013 Wolters Kluwer Health | Lippincott Williams & Wilkins • Actions – Acts to reduce the responsiveness of the nerve cells in the CTZ to circulating chemicals that induce vomiting • Indications – Prevention of nausea and vomiting • Adverse Effects – Drowsiness – Fatigue – Restlessness – Extrapyramidal symptoms
8.
Anticholinergics/Antihistamines Copyright ©
2013 Wolters Kluwer Health | Lippincott Williams & Wilkins • Actions – Anticholinergics that act as antihistamines and block the transmission of impulses to the CTZ • Indications – Prevention and treatment of nausea and vomiting • Adverse Effects – Drowsiness – Confusion – Dry mouth – Anorexia – Urinary frequency
9.
Serotonin (5-HT3) Receptor
Blockers Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins • Actions – Block those receptors associated with nausea and vomiting in the CTZ and locally • Indications – Control of nausea and vomiting • Pharmacokinetics – Rapidly absorbed, metabolized in the liver, and excreted in urine and feces • Caution – Pregnancy and lactation
10.
Serotonin (5-HT3) Receptor
Blockers (cont.) • Adverse Effects – Headache, drowsiness, myalgia, urinary retention, constipation, pain at the injection site Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
11.
Question Please answer
the following statement as true or false. Emetic medications are used to induce vomiting and should be kept in the home in case of an accidental poisoning. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
12.
Answer False Rationale:
Emetics cause vomiting and are no longer recommended for at-home poison control. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
13.
Substance P/Neurokinin 1
Receptor Antagonists Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins • Actions – Act directly in the CNS to block receptors associated with nausea and vomiting • Indications – In combination with other agents to prevent nausea and vomiting • Pharmacokinetics – Given orally, metabolized in the liver, and excreted in urine and feces
14.
Substance P/Neurokinin 1
Receptor Antagonists (cont.) • Adverse Effects – Anorexia, fatigue, constipation, diarrhea, liver enzyme elevation, dehydration Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
15.
Miscellaneous Antiemetics Copyright
© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins • Actions – Varies with agent • Indications – Treatment and prevention of nausea and vomiting • Pharmacokinetics – Varies according to agent
16.
Miscellaneous Agents (cont.)
• Contraindications – Coma – Severe CNS depression – Brain damage or injury – Hypotension or hypertension – Severe liver dysfunction Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
17.
Miscellaneous Antiemetics (cont.)
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins • Caution – Renal dysfunction – Active peptic ulcer disease – Pregnancy – Lactation • Adverse Effects – Linked to interference with normal CNS stimulation or response • Drowsiness • Dizziness • Weakness
18.
Miscellaneous Antiemetics (cont.)
• Adverse Effects (cont.) – Photosensitivity – Hypotension, hypertension, and cardiac arrhythmias • Drug-to-Drug Interactions Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins – Alcohol
19.
Use of Drugs
Affecting the Female Reproductive System Antiemetic Agents Across the Lifespan Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
20.
Prototype Phenothiazines Copyright
© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
21.
Prototype Nonphenothiazines Copyright
© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
22.
Prototype Anticholinergics/ Antihistamines
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
23.
Prototype Serotonin (5-HT3)
Receptor Blockers Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
24.
Prototype Substance P/Neurokinin
1 Receptor Antagonists Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
25.
Nursing Considerations for
Antiemetics • Assessment: History and Physical Exam • Nursing Diagnosis • Implementation • Evaluation Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
26.
Question What is
an anticholinergic antiemetic recommended for vestibular (inner ear) problems? A. Granisetron B. Meclizine C. Palonosetron D. Perphenazine Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
27.
Answer B. Meclizine
Rationale: These drugs—buclizine, cyclizine and meclizine - are anticholinergics that act as antihistamines and block the transmission of impulses to the CTZ. They are recommended for the nausea and vomiting associated with motion sickness or vestibular (inner ear) problems. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Descargar ahora