Question

2. A nurse is preparing the drug ara explains to the patient that reliet ot stron me nurse was discussing deal with anticipatory follows 1. "Your nausea should not be a this drug 30 minutes before yob chemotherapy, we anticipate that uten d in the discussic 2、"When we administer Kytril 60 m chemo- 3. "When we give you Kytril 2 hours 4. "You will need to take this drug 2 hoe We generally admin as nausea develops any nausea." chemotherapy, your nausea shoulco to chemotherapy to prevent nausea." z "You can expect ar more severe as yo of your nausea th relaxation and se 3. The anticholinergic agents are used to 1. "We can teach ya of nausea. 1. Anticipatory nausea and vomiting 2. Nausea and vomiting in pregnancy 3. Postoperative nausea and vomiti 4. "It is recommen prior to chemot 4. Motion sickness 5. "The triggers fo brushing teeth ng 4. Patients using dronabinol (THC) (Marinol) fo and vomiting should be taught to report t quickly." symptoms. (Select all that apply.) 1. Constipation 2. Depression 3. Paranoia 4. Blurred vision 5. Hallucinations 5. The patient with chemotherapy-induced nausea and vomiting was receiving benzodiazepines becaus these drugs will: (Select all that apply.) 1. act through several mechanisms to inhibit pathwas to the vomiting center (VC). induced nausea and vomiting. of acetylcholine believed to be present 2. reduce anxiety associated with chemotherapy- 3. be used to counterbalance the excessive amoun's 4. depress the VC. 5. inhibit dopamine receptors that are part of the pathway to the VC.

Answer 1

2.Granisetron is an anti emetic drug usually given before starting chemotherapy to prevent nausea and vomiting. It should be given 1 hour(60minutes) before chemotherapy and after 12 hours of chemotherapy. Giving it just before 30 minutes will not act effectively and before 2 hours cannot control the nausea during chemo

Ans:2.when we administer Kytril 60 minutes before your chemotherapy,we anticipate you will not have any nausea

3.Anticholinergic drugs blocks muscaranic receptors and inhibit cholenergic transmission to vomiting center and prevents it generally given for motion sickness .It is contraindicated in pregnancy .It cannot prevent anticipatory nausea.In case of abdominal surgery this will inhibit gastric mobility leading to problem so nit prescribed for post op cases.

Ans.4.Motion sickness

4.Patients who are using Dronabinol may have adverse effects of cardiovascular, gastrointestinal, cerebrovascular, musculoskeletal, skin and respiratory system and sensory problems.

The patient may have hallucination,vision problem, paranoia and depression. The patient can have diarrhoea and not constipation.

Ans.2.Depression, 3.Paranoia, 4.blurred vision,5.hallucination

5.Benzodiazepines doesn't prevent nausea and vomiting directly but it helps other anti emetic drug and reduces anxiety of getting nausea and vomiting during chemotherapy

Ans.2.reduce anxiety associated with chemotherapy induced nausea and vomiting .