Take Home Points
- Nausea and Vomiting has an exceedingly large differential – don’t just anchor on GI presentations
- H&P important – Duration, frequency, content, and associated symptoms
- Alcohol swab -> If no line and want quick treatment give swab
- Ondansetron -> oral you can give without hesitation but if giving IV check QTC / electrolytes and give slowly
- Droperidol / Haloperidol -> Works really well, QTc prolongation has been overhyped and dont give to parkinsons patient.
REBEL Core Cast 47.0 – Nausea and Vomiting
References
https://pubmed.ncbi.nlm.nih.gov/16490647/
https://pubmed.ncbi.nlm.nih.gov/16938159/
https://onlinelibrary.wiley.com/doi/epdf/10.1197/aemj.9.6.615
https://journalfeed.org/article-a-day/2020/droperidol-is-backbut-how-safe-and-effective-is-it
https://pubmed.ncbi.nlm.nih.gov/29463461/
https://thesgem.com/2018/06/sgem221-smells-like-isopropyl-alcohol-for-nausea/
https://pubmed.ncbi.nlm.nih.gov/16599033/
http://robertclaremd.com/im-skeptical-about-the-fda-part-2/
Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)
Shownotes Created By: Miguel Reyes, MD (Twitter: @miguel_reyesMD)
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