Q:

A man with carcinoma and multiple metastasis presents with intractable nausea and vomiting. He has become drowsy and confused. What is the most appropriate management?

waelhammad
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2022-11-03
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A man with carcinoma and multiple metastasis presents with intractable nausea and vomiting. He has become drowsy and confused. What is the most appropriate management?

  1. Dexamethasone IM
  2. Dexamethasone PO
  3. Ondansetron IM
  4. Ondansetron PO
  5. Morphine oral
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waelhammad
2022-11-03
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The key is C. Ondensatron IM. [For cancer or chemotherapy induced vomiting ondensatron is the drug of choice. As here vomiting is intractable IM ondensatron should be given not oral].

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