Avoid triggers
Many patients have known triggers, such as diet, psychological stressors, sleep deprivation, cannabis, or infection.
May be on medications typically used for migraine prophylaxis
Abortive antiemetics therapy
Ondansetron- works better with benzos or diphenhydramine
Promethazine, prochlorperazine
Triptans (e.g. sumatriptan)
Supportive therapy
IVF with dextrose
Place in quiet, dark room +/- sedative
Many patients have known triggers, such as diet, psychological stressors, sleep deprivation, cannabis, or infection.
Ondansetron- works better with benzos or diphenhydramine
Promethazine, prochlorperazine
Triptans (e.g. sumatriptan)
IVF with dextrose
Place in quiet, dark room +/- sedative
Cyclic vomiting syndrome
ACS/MI
Esophageal spasm
Boerhaave's
Refeeding syndrome
DKA
Gastric volvulus
Intracranial Hemorrhage