NSG 533 Chapter 20 - Nausea and Vomiting Questions with complete solution 2023/2024

NSG 533 Chapter 20 - Nausea and Vomiting Questions with complete solution 2023/2024 What are cardiac causes of N/V? - correct answer 1. Cardiomyopathy 2. MI 3. Heart Failure What are Neurologic causes of N/V? - correct answer 1. Vestibular disease 2. Motion sickness 3. Labyrinthitis (inflammation of the inner ear nerves) 4. Migraine headache 5. Increased ICP 6. Intracranial hemorrhage 7. Meningitis 8. Hydrocephalus 9. Psychogenic causes 10. Eating disorders 11. Depression 12. Anxiety disorders What are therapy or toxin induced causes of N/V? - correct answer 1. Antibiotics 2. Antiarrhythmics 3. Aspirin 4. Cancer chemotherapy 5. Digoxin 6. Iron 7. Lead 8. Marijuana 9. Oral anti-diabetics 10. Oral contraceptives 11. Opioids 12. Anticonvulsants 13. Radiation therapy 14. Ethanol What are endocrine/metabolic causes of N/V? - correct 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 - correct 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.