{"slug":"nausea-and-vomiting","tag":"nausea-and-vomiting","variants":["nausea-and-vomiting"],"description":"No description yet","count":4,"kinds":{"protocol":4},"related":[{"slug":"protocol","tag":"protocol","shared":4},{"slug":"supportive-care","tag":"supportive-care","shared":2},{"slug":"paediatric","tag":"paediatric","shared":1},{"slug":"palliative","tag":"palliative","shared":1}],"records":[{"id":"anticipatory-nausea-and-vomiting","kind":"protocol","name":"Anticipatory nausea and vomiting before chemotherapy: prevention and treatment","route":"/protocols/anticipatory-nausea-and-vomiting/","tldr":"Some people feel sick, or are sick, before a chemotherapy session, set off by the hospital or a smell: a learned reaction to sickness in earlier cycles. The best protection is good anti-sickness medicine from the first cycle. If it happens, tell your team: relaxation training helps, and a calming tablet such as lorazepam the night before and on the morning of treatment can be offered."},{"id":"antiemetic-prophylaxis-by-emetic-risk","kind":"protocol","name":"Antiemetic prophylaxis for chemotherapy by emetic risk","route":"/protocols/antiemetic-prophylaxis-by-emetic-risk/","tldr":"Sickness from chemotherapy is now largely preventable. The anti-sickness medicines you are given depend on how likely your chemotherapy is to cause sickness: for the strongest regimens that is four medicines before treatment and some for the days after, for the mildest none at all. If you are still sick, tell your team: there is a next step."},{"id":"nausea-and-vomiting-in-advanced-cancer","kind":"protocol","name":"Nausea and vomiting in advanced cancer not caused by cancer treatment","route":"/protocols/nausea-and-vomiting-in-advanced-cancer/","tldr":"In advanced cancer, nausea and vomiting often have a cause that can be found and treated, such as constipation, a high calcium level, a medicine, or a blocked bowel. Your team will look for the cause, stop medicines that may worsen it, and choose an anti-sickness medicine that suits it, under the skin or by a small pump if tablets will not stay down. Say if it is not improving."},{"id":"paediatric-chemotherapy-nausea-vomiting-prevention","kind":"protocol","name":"Preventing chemotherapy sickness (nausea and vomiting) in children","route":"/protocols/paediatric-chemotherapy-nausea-vomiting-prevention/","tldr":"How likely a child's chemotherapy is to cause sickness decides which anti-sickness medicines they get, given before the chemotherapy, not after the child is sick. The strongest chemotherapy gets three medicines together. If a child is still sick, the team steps up the medicines straight away and for the next cycle, because sickness that is not controlled makes the next cycle worse."}]}