Nausea and vomiting

• Autores: Paul W. Keeley
• Localización: Medicine, ISSN-e 1357-3039, Vol. 43, Nº. 12, 2016, págs. 709-711
• Idioma: inglés
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• Resumen

  • Nausea and vomiting are common problems in palliative care, occurring in 40–70% of patients with advanced incurable disease. Nausea and vomiting can be disease- or treatment-related and require a holistic approach to their management involving a careful assessment of the problem with a focused history and a limited range of key investigations. A knowledge of the likely receptors involved in this complex phenomenon is vital to ensure that proper pharmacological measures are employed. Although many of the relevant drugs have been available for many years, newer agents have improved the management of some types of nausea and vomiting (especially emesis related to surgery, chemotherapy or radiotherapy). Non-pharmacological measures, including stenting, laser treatment and venting gastrostomy, can be considered in selected patients.