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She Won’t Stop Vomiting 

She Won’t Stop Vomiting
Chapter:
She Won’t Stop Vomiting
Author(s):

Carly Levy

, and Mindy Dickerman

DOI:
10.1093/med/9780190051853.003.0019
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date: 16 April 2021

Seriously ill pediatric patients may experience nausea and/or vomiting as a distressing symptom. Nausea and vomiting occur in almost half of children with cancer during their end-of-life period. There are multiple triggers that can lead to nausea and/or vomiting, including a variety of diseases and commonly used medications to treat serious illness including opiates. Identifying the source of nausea and/or vomiting, if possible, can dictate a targeted and effective treatment approach. This chapter reviews the pathophysiology thought to be responsible for eliciting nausea and/or vomiting, outlines a stepwise framework for evaluating patients with this symptom, and reviews targeted therapies including pharmacologic as well as supportive and integrative therapies.

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