Cyclical vomiting syndrome - page 6

Anybody encountered a patient with this diagnosis? I had a pt come in the other day, report of vomiting x23 during past 4 hours, severe pain 10/10 in abdomen, letter from GI doctor stating she was... Read More

  1. by   hppygr8ful
    Quote from NurseT88
    No mention of concurrent drug use - especially marijuana from the posts. Are any of your departments doing drug screens to assess for a drug related component?
    What I'm finding with the patients being seen in the departments I'm working in is all these patients are chronic marijuana users.
    We throw every anti-emetic at these patients, including Haldol, yet all that seems to ease the symptoms (other than a threat to use only non-parenteral approaches) is a narcotic - which miraculously works the second it is pushed like a switch has been thrown. Certainly leads one to identify these patients as seekers.
    When it comes to marijuana use you have to understand that many people with disorder turn to the use of medical marijuana hoping for relief. Not all but some. I know I thought about it but didn't go there.

    Hppy
  2. by   BostonFNP
    Quote from hppygr8ful
    When it comes to marijuana use you have to understand that many people with disorder turn to the use of medical marijuana hoping for relief. Not all but some. I know I thought about it but didn't go there.

    Hppy
    This makes it very hard to differentiate CVS from CHS, especially as time passes because its hard to tell which started first the vomiting or the THC.
  3. by   wildnursebrendan
    I didn't read through all the pages of responses so maybe someone mentioned this, but sometimes it is Cannabis related. Had a MD print out the literature for us the first time I saw this. The patient wanted to live in the shower because hot water was the only thing that helped.
  4. by   BostonFNP
    Quote from wildnursebrendan
    I didn't read through all the pages of responses so maybe someone mentioned this, but sometimes it is Cannabis related. Had a MD print out the literature for us the first time I saw this. The patient wanted to live in the shower because hot water was the only thing that helped.
    Read back through them to my posts, in adults, Canabinoid Hyperemesis Syndrome is one of the leading causes and the diagnostic factor (for me) is taking hot showers.
  5. by   That Guy
    Quote from BostonFNP
    Read back through them to my posts, in adults, Canabinoid Hyperemesis Syndrome is one of the leading causes and the diagnostic factor (for me) is taking hot showers.
    Yup and the bag of air they keep "vomiting" up. But man once they get that haldol and capsaicin it cures it all.

    This wasn't supposed to be derogatory towards them, I realized it might have come out that way. We see it way too much here and are met with insane amounts of resistance when we tell people to stop smoking. Classic signs every time they come in though.
  6. by   nprosser25
    I am a RN diagnosed with cyclic vomiting syndrome. This is a much misunderstood illness. Anyone with a true diagnosis of cvs IS in severe pain, and definitely runs the risk of being viewed as drug- seeking. I was given dilaudid-ativan combo on my first admission, which cured the episode. In the case of CVS, dilaudid has nausea-relieving effects. Please do not immediately judge people as drug- seekers. Until you walk in another's shoes, do your research and try not to assume. Also, gastropariesis is not the same as CVS and may or may not be associated.
  7. by   nprosser25
    Also, there is a separate disorder called Cannabinoid hyperemesis syndrome, mimics CVS but not the same thing. This one is curable by stopping marijuana.
  8. by   nprosser25
    You're godd@## right, everything you said. Thank you!!
  9. by   Pixie.RN
    Quote from nprosser25
    You're godd@## right, everything you said. Thank you!!
    Using the "quote" feature is really helpful to indicate who you are addressing.
  10. by   ED_Murse
    IV lorazepam and a bag of fluids

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