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Related Concept Videos

Pharmaceutical Poisoning: Treatment Strategies01:26

Pharmaceutical Poisoning: Treatment Strategies

Treatment strategies for poisoning are a critical aspect of emergency medicine, focusing on preventing the absorption of toxins and enhancing their elimination. When a poisoning incident occurs, the first response is to halt exposure and decontaminate the patient, particularly through gastrointestinal (GI) methods if the poison was ingested.Gastrointestinal Decontamination Techniques:Activated charcoal is the cornerstone of GI decontamination. It works through adsorption, binding the toxin to...
Pathophysiology of Vomiting01:22

Pathophysiology of Vomiting

Vomiting is a complex physiological response to expel harmful or irritating substances from the body. It's a defensive mechanism triggered by stimuli like poisons, microbial toxins, cytotoxic drugs, and mechanical abdominal distension. The process is centrally coordinated by the vomiting (or emetic) center located in the medulla of the brainstem. This area, rich in muscarinic M1, histamine H1, neurokinin 1 (NK1), and serotonin 5-HT3 receptors, coordinates the act of vomiting through interaction...
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists01:27

Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists

5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
Prevention of Further Absorption of Poison01:14

Prevention of Further Absorption of Poison

In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists01:28

Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists

Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates these...
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists01:29

Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists

Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...

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Updated: Jun 8, 2026

Acupoint Application Combined with Acupressure as an Adjunctive Therapy for Chemotherapy-Induced Nausea and Vomiting
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Acupoint Application Combined with Acupressure as an Adjunctive Therapy for Chemotherapy-Induced Nausea and Vomiting

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Controlling emesis: evolving challenges, novel strategies.

Brenda Nevidjon1, Rekha Chaudhary

  • 1Duke University School of Nursing, Durham, North Carolina 27710, USA. nevid001@mc.duke.edu

The Journal of Supportive Oncology
|September 28, 2010
PubMed
Summary
This summary is machine-generated.

Novel antiemetic therapies improve control of chemotherapy-induced nausea and vomiting (CINV). Further research and new drug delivery systems aim to enhance patient quality of life and treatment compliance.

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Last Updated: Jun 8, 2026

Acupoint Application Combined with Acupressure as an Adjunctive Therapy for Chemotherapy-Induced Nausea and Vomiting
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

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Published on: November 9, 2016

Area of Science:

  • Oncology
  • Pharmacology
  • Patient Care

Background:

  • Chemotherapy, radiation therapy, and surgery can cause significant nausea and vomiting.
  • Despite advances, the severity of emesis is often underestimated, impacting quality of life, compliance, and treatment outcomes.
  • Effective antiemetic therapy is crucial for managing distressing side effects of cancer treatment.

Purpose of the Study:

  • To review recent advancements in antiemetic therapies.
  • To highlight the ongoing evolution of antiemetic strategies.
  • To emphasize the importance of managing chemotherapy-induced nausea and vomiting (CINV).

Main Methods:

  • Review of novel antiemetic agents, including 5-hydroxytryptamine and neurokinin-1 receptor antagonists.
  • Analysis of refined antiemetic therapeutic guidelines.
  • Exploration of risk factors for acute and delayed nausea and vomiting.
  • Consideration of nonpharmacologic complementary therapies.

Main Results:

  • Significant improvements in controlling nausea and vomiting have been achieved.
  • Novel therapies offer better tolerability and efficacy.
  • New oral drug delivery systems enhance convenience.

Conclusions:

  • Antiemetic therapy continues to evolve with new drug classes and improved guidelines.
  • Addressing inadequately controlled nausea and vomiting is essential for patient well-being and treatment adherence.
  • Future directions include further research into risk factors and complementary therapies, alongside innovative drug delivery systems.