Where is the vomitting centre found?
Why is levomepromazine used in palliative?
Medulla
Broad spectrum anti-emetic
For a constipated patient what anti-emetic would you select?
What should it be prescribed with?
Metroclopramide - helps improve gut mobility
Bowel softener (laxido)
Dexamethasone (reduce pressure and oedema for partial bowel obstruction)
What is the purpose of buscopan?
Reduces abdominal motility and secretions - good for constipation and crampy pain
Why would you want to stop steroids if a patient has a bowel obstruction?
Steroids make people hungry - cruel to do so
What does Senna do?
Increases gut motility and gut secretions