REBEL Core Cast 47.0 Nausea and Vomiting

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)