Term
| chemoreceptor trigger zone |
|
Definition
| located outside the BBB and serves as emetic chemoreceptor for the vomiting center |
|
|
Term
|
Definition
| mainly receives input from the GI tract and is activated by distension or irritation of the GI from various causes; SEROTONIN |
|
|
Term
|
Definition
| vomiting associated with motion sickness, inner ear disorders, vertigo; MUSCARINIC and HISTAMINE receptors |
|
|
Term
|
Definition
| pathway not well understood, may involve non-anatomical causes for vomiting (stress induced n/v, psych or behavior) |
|
|
Term
| nausea therapy vs. oral rehydration |
|
Definition
| if PT is unable to tolerate PO and is showing s/sx of dehydration or electrolyte imbalances, oral rehydration would be appropriate anti-nausea |
|
|
Term
| loperamide, diphenoxylate/atropine |
|
Definition
| chronic, non-infectious, uncomplicated diarrhea, >2 yrs of age and NON-acute cases |
|
|
Term
|
Definition
| lactobacillus, prevent/treat antibiotic-induced diarrhea > 2 years old and NON-acute cases ONLY |
|
|
Term
|
Definition
| reduces rotavirus-induced diarrhea, more effective at reducing sever cases |
|
|
Term
| oral anti-constipation meds |
|
Definition
| mineral oil, PEG solutions |
|
|
Term
| alternatives to oral anti-constipation |
|
Definition
| mag hydroxide, mag citrate, lactulose, sorbitol, senna, bisicodyl |
|
|
Term
|
Definition
| phosphate soda, mineral oil/ phos soda, saline, glycerin, bisacodyl, milk of molasses |
|
|
Term
| stimulant anti-constipation |
|
Definition
|
|
Term
| osmotic anti-constipation |
|
Definition
| phosphate soda, saline, lactulose, mag/citrate (hydroxide) |
|
|
Term
|
Definition
|
|
Term
|
Definition
| stunted growth, decreased WT gain, esophageal inflammation, Barrett's esophagus |
|
|
Term
| when to treat GERD in infants |
|
Definition
| complicated GER (H2 blk/ PPI), poor wt gain, failure to thrive |
|
|
Term
| when to treat GERD in >2 years old |
|
Definition
| recurrent regurgitation/ vomiting (prokinetic agent), chronic heartburn/ esophagitis (h2 ro PPI for 2-4 wks), when asthma + GER coexist (trial of acid suppression med avoiding aspiration pneumonia) |
|
|
Term
| potential appropriate GERD treatments for peds |
|
Definition
| smaller/ less frequent feedings, thickening feeds and hypoallergenic formulas, elevate head 30 min, dietary modification and weight reduction |
|
|
Term
|
Definition
| ranitidine, famotidine (NO cimetidine) |
|
|
Term
|
Definition
| omeprazole and lansoprazole, pantoprazole |
|
|
Term
|
Definition
| short term, acute, intermediate GER: children's mylants, maalox, pepto *not if fever presents* calcium carb, or tums |
|
|
Term
| aluminum contain antacids |
|
Definition
| use cautiously due to CNS toxicity |
|
|
Term
|
Definition
| metoclopramide, erythromycin succinate |
|
|
