Nausea and Vomiting 噁心嘔吐鑑別診斷－醫學筆記匯整 ED Notes

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Dopamine antagonist :

- Metoclopramide ( Primperan ), Domoeridone ( Emetrol )

- Prochlorperazine ( Novamin )

Antihistamine : Vena

5HT3 受體抑制劑：Ondansetron

NK1 受體拮抗劑：Aprepitant (Emend)

類固醇：Dexamethasone

- Prochlorperazine 10 mg (Novamin)

- Metoclopramide 10mg (Primperan)

Metoclopramide : given slowly to minimize extrapyramidal side effects 給慢一點有幫助

IV diphenhydramine are administered as prophylaxis against dystonia

嘔吐的成因

腹內：

Obstruction : Gastric outlet obstruction, Ileus, Constipation, Biliary/Renal colic, Torsion
Infection, Inflammation
- AGE, Peptic ulcer, GERD
- GB, Appendicitis, Hepatitis, Pancreatitis
- APN, Ischemic bowel
Dysfunction (Gastroparesis, Functional vomiting)
感覺運動神經失控 (胃輕癱, 腸偽阻塞, 胃食道逆流, 功能性嘔吐)
Post operative

腹外：

Cardiovascular : ACS, Dysrhythmia
Vestibular : BPPV, Vestibular neuritis, Meniere's
Neuro : IICP, Hemorrhage (SAH), Meningitis, Infarction, Migraine, Tumor/Metastasis
Glaucoma
Psychiatry