Chapter 20 Nausea and Vomiting, Exam 1
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What are endocrine/metabolic causes of N/V? -
✔✔✔ANSWER-1. Pregnancy (NVP or hyperemesis gravidarum)
2. Uremia
3. Diabetic keto acidosis
4. Hyperthyroidism
,5. Parathyroid disease
6. Addison disease
Post-operative N/V risk factors - ✔✔✔ANSWER-*Occurs in 30%
of surgical patients overall and up to 70% of high-risk patients
Risk Factors:
1. Female sex
2. History of motion sickness
3. History of PONV
4. Non-smoking status
5. Use of opioids post-operatively
6. Choice of anesthetic agents and duration of surgery may
also contribute to PONV.
Identify common causes of nausea and vomiting - ✔✔✔ANSWER-
N/V are symptoms that can be due to many different causes
such as GI, cardiac, neurologic, and endocrine disorders, and
various medications.
What are examples of GI causes of N/V? -
✔✔✔ANSWER-1. Mechanical obstruction
2. Achalasia - Failure of LES to open during swallowing,
leading to food back up in the esophagus.
, 3. Enteric infections
4. Pancreatitis
5. IBS
6. IBD
7. Cholecystitis
8. Hepatitis
9. Gastroparesis
10. GERD
11. PUD
12. Peritonitis
What are cardiac causes of N/V? - ✔✔✔ANSWER-1.
Cardiomyopathy
2. MI
3. Heart Failure
What are Neurologic causes of N/V? - ✔✔✔ANSWER-1.
Vestibular disease
2. Motion sickness
3. Labyrinthitis (inflammation of the inner ear nerves)
4. Migraine headache
5. Increased ICP
6. Intracranial hemorrhage