Nausea and vomiting in palliative care

Keeley, P. W. (2020) Nausea and vomiting in palliative care. Medicine, 48(1), pp. 14-17. (doi: 10.1016/j.mpmed.2019.10.009)

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Abstract

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

Item Type:Articles
Keywords:Emesis, MRCP, nausea, palliative care, vomiting.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Keeley, Dr Paul
Authors: Keeley, P. W.
Subjects:R Medicine > R Medicine (General)
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Medicine
Publisher:Elsevier
ISSN:1357-3039
ISSN (Online):1878-9390
Published Online:23 November 2019

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