Treatment Guideline Chart
Nausea is the sensation felt immediately before vomiting.
Vomiting is a partially voluntary act of forceful expelling of stomach contents up to and out of the mouth that may or may not be preceded by nausea.
Retching or repetitive active contraction of the abdominal muscles occurs between nausea and vomiting.
Management includes correction of clinically relevant metabolic complications, pharmacological therapy and treatment of underlying cause.

Nausea%20-and-%20vomiting Patient Education

Lifestyle Modification

Dietary Modifications

  • Intake of food and fluids should be frequent, in small amounts, and at room temperature
  • Spicy or fatty foods and cold, sweet, tart or carbonated beverages should be avoided
  • Indigestible or partially digestible material should be avoided

Nausea and Vomiting of Pregnancy

  • Encourage vitamin supplementation, particularly Folic acid, for pregnant women
    • Prenatal vitamins may be taken a month prior to pregnancy to decrease the incidence and severity of nausea and vomiting
  • Protein-rich meals may be preferable for alleviating symptoms compared to carbohydrate- or fat-rich meals
  • Crackers and dry or bland foods may be taken in the morning before getting up
  • Enteral nutrition should be considered in the dehydrated patient or those with significant or persistent weight loss who are unresponsive to antiemetics
    • Parenteral nutrition can be given to pregnant women who are unable to tolerate enteral feeding
  • IV Thiamine initially with the rehydration fluid then daily for 2-3 days followed by IV multivitamin or as per local protocol should be considered in women who require IV hydration and who have vomited for >3 weeks
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