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CMN 568 Unit 4: Questions & Accurate Answers (A+) $21.99   Add to cart

Exam (elaborations)

CMN 568 Unit 4: Questions & Accurate Answers (A+)

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  • CMN 568*
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  • CMN 568*

CMN 568 Unit 4: Questions & Accurate Answers (A+)

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  • September 5, 2024
  • 30
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CMN 568*
  • CMN 568*
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LeCrae
CMN 568 Unit 4: Questions & Accurate Answers (A+)

Acute onset of severe pain and vomiting suggests what? Right Ans - +
Peritoneal irritation
+ Acute gastric or intestinal obstruction
+ Pancreaticobiliary disease

(McPhee p 588)

Persistent vomiting suggests what? Right Ans - + Pregnancy
+ Gastric outlet obstruction
+ Gastroparesis
+ Intestinal dysmotility
+ Psychogenic disorders
+ CNS or systemic disorders

(McPhee p 589)

Vomiting in the morning suggests what? Right Ans - + Pregnancy
+ Uremia
+ ETOH intake
+ ↑ ICP

Vomiting after meals suggests what? Right Ans - + Bulimia
+ Peptic ulcer disease
+ Other psychogenic causes

(McPhee p 589, Shimp p 373)

Vomiting of undigested food 1-2 hours after a meal suggests what? Right
Ans - + Gastroparesis
+ Small bowel obstruction
+ Gastric outlet obstruction

NOTE: Sucussion splash often heard on auscultation

(McPhee p 589, Shimp p 373)

,4 causes of nausea and vomiting Right Ans - 1) Visceral afferent
stimulation (seratonin receptors)
2) Vestibular disorders (fibers ↑ in histamine and muscarinic receptors)
3) CNS disorders
4) Irritation of chemoreceptor trigger zone

(McPhee Table 15.1)

Ways to stimulate the chemoreceptor trigger zone and cause vomiting
Right Ans - 1) Chemo
2) Medications and drugs
3) Radiation therapy
4) Systemic disorders

CNS disorders that can cause vomiting Right Ans - 1) Migraine
2) ↑ ICP
3) Infections (e.g. meningitis, encephalitis)
4) Psychogenic

Vestibular disorders that can cause vomiting Right Ans - Labyrinthitis,
Meniere syndrome, motion sickness

Define RETCHING Right Ans - Strong, spasmodic, involuntary effort to
vomit without bringing up emesis.

(McPhee and Shimp)

Define REGURGITATION Right Ans - Effortless return of gas or small
amounts of food from stomach (McPhee and Shimp)

Common causes of vomiting in infants Right Ans - 1) Any acute illness (esp
gastroenteritis)
2) Hypertrophic pyloric stenosis (2 - 8 weeks of life, may feel an "olive" in
epigastric area after feeding)
3) Intussisception (6 - 18 months of life, sausage-shaped mass and "currant
jelly" stools)
4) Regurgitation ("spitting up") -- usually normal and usually resolves by 6 -
12 months.

, (Shimp)

Medications associated with N/V Right Ans - + Antidepressants
--SSRIs
--venlafaxine

+ Cardiac meds
--antiarrhythmics
--anti-HTN meds (diuretics, beta blockers, CCBs)
-- ↓ CHO meds (statins, gemfibrozil, niacin)
-- Digoxin

+ Chemotherapy agents

+ GI meds
--sulfasalazine (for tx of UC)
--azathioprine (tx of Crohns or UC)

+ Meds to treat infectious diseases
-- Acyclovir
-- Anti-fungals
-- ABX
-- UTI meds
-- TB meds

+ Pain meds
-- Anti-gout meds
-- Aspirin
-- NSAIDs
-- Opioids

+ Others
-- Lithium
-- Metformin
-- BC pills
-- Quinidine

(Shimp Table 46-2)

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