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  • There are many potential causes of nausea and vomiting in acute oncology patients , including:

    • Drugs (for example opioids and cytotoxic drugs).

    • Metabolic causes (for example from hypercalcaemia or renal failure).

    • Gastric stasis (due to drugs, ascites, hepatomegaly, peptic ulcer, or gastritis).

    • Vestibular disturbance (from opioids or cerebral metastases).

    • Anxiety (for example before chemotherapy).

  • Nausea and vomiting may cause various complications, including dehydration and electrolyte imbalance, decreased nutrition, and decreased quality of life.

Are you a health professional looking for immediate guidance-

 UKONS Acute Oncology Initial Management Guidelines may help 

 

ESMO How to Video In this video, Christina Ruhlmann details the mechanisms of chemotherapy induced nausea and vomiting and explains how to set an individualised treatment plan

Multinational Association of Supportive Care in Cancer MASCC/ESMO European Society for Medical Oncology ANTIEMETIC GUIDELINE 2016 With Updates in 2019

NICE Palliative care - nausea and vomiting   Last revised in March 2021

Scottish Palliative Care Guidelines - Nausea and Vomiting

 

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