…Dyspnoea, nausea, vomiting, diaphoresis, fatigue, faintness, and other symptoms may occur without chest pain and should be considered anginal equivalents. The emergency evaluation of non…

…shoulders, back, or one or both arms. Indigestion or heartburn, particularly when associated with nausea or vomiting. Persistent shortness of breath. Weakness, dizziness, light headedness…

…the occipital area but does not radiate below the umbilicus. It is often accompanied by sweating, nausea, vomiting, anxiety, and a sense of impending doom…

…which manifests across multiple organ systems. Non cardiac symptoms include headache, nausea, vomiting, generalized malaise, and visual disturbances such as altered color perception and halo…

…be mistaken for indigestion. Associated manifestations include: Sweating Nausea and vomiting Anxiety A sense of impending doom When STEMI begins during exertion, the symptoms generally…

…retention — the commonest indication on a surgical ward. Decompression in severe vomiting where the stomach does not empty. Intraoperatively and postoperatively after major abdominal surgery…

…weakness rapidly progressive symptoms from several organ systems severe abdominal pain or repeated vomiting after probable allergen exposure sudden hypotension or severe bronchospasm during anaesthesia…

…or gastroenteritis at home Double or triple the oral daily dose during the days of illness (the patient's sick day rules) Vomiting or diarrhoea…

…protect the airway: a reduced level of consciousness not attributable to hypercapnia, marked swallowing difficulty, vomiting. Haemodynamic instability or a life threatening arrhythmia. Undrained pneumothorax…

…consciousness without a protected airway — a risk of aspiration Medicinal charcoal A corrosive substance (acid, alkali) — it makes endoscopic assessment more difficult and causes vomiting…

…sore or extensive perineal wounds where urinary leakage prevents healing. Voiding problems in neurogenic bladder dysfunction, in the first instance with clean intermittent self catheterisation…

…hypertension, headache, nausea and vomiting 8 to 24 hours Alcoholic hallucinosis, often visual, auditory or tactile hallucinations with a relatively clear level of consciousness and…

…level of consciousness, loss of pharyngeal reflexes, vomiting with a risk of aspiration. Inadequate oxygenation despite maximal oxygen or non invasive ventilation. Inadequate ventilation with…

…Step Assessment and action : : A Assess the airway, the pharyngeal reflexes, vomiting and secretions. Suction and give oxygen as needed. Intubate for a threatened airway…

…coffee ground vomiting or melaena. Haematochezia can occur in massive upper bleeding with rapid intestinal transit. Coffee ground vomiting is less specific than fresh haematemesis…

…Infusion regime : • 0.5–2 mg/minute IV infusion. Higher doses are sometimes required. Adverse effects Vomiting. Dizziness. Nausea. Atrioventricular blocks (AV blocks). Orthostatic hypotension…

…to 5 mg IV followed by 2.5–15 mg IV every 3 to 6 hours. Adverse effects Vomiting. Dizziness. Nausea. Atrioventricular blocks (AV blocks)…

…of action: 5 to 10 minutes. Adverse effects Headache (cerebral vasodilation). Tachycardia (due to reflex sympathetic activation). Nausea. Vomiting. Flushing. Palpitations. Tolerance with prolonged use…

…10 minutes. Administer sodium thiosulfate (cyanide into thiocyanate) and terminate infusion of nitroprusside if cyanide toxicity is suspected. Adverse effects • Nausea. Vomiting. Agitation. Muscle spasm…

…Flushing. Headache. Nausea. Vomiting. Caution Rarely used unless patient has a confirmed diagnosis of pheochromocytoma Treatment of hypertension associated with pheochromocytoma; treatment of dermal necrosis…

…The condition occurs above all in: treatment with SGLT2 inhibitors pregnancy prolonged fasting or a very low carbohydrate intake excessive alcohol consumption vomiting or othe

…for example a Glasgow Coma Scale below 8 Vomiting together with clear neurological impairment Respiratory failure or respiratory arrest Clinical signs of raised intracranial pressure…

…effects Mild 130 125 mmol/l Cognitive disorders, vertigo, balance disorder. Moderate 115 125 mmol/L Headache, nausea, vomiting, muscle cramps, apathy, confusion, impaired reflexes…