Cachexia and Anorexia
Chemotherapy, Dexamethasone enhances antiemetic (nausea, vomiting) such as Ondansetron (Zofran) causing diarrhea
** Nursing Management of Patients with Cancer-Related Anorexia
1. Early satiety, Gastroparesis, delayed gastric emptying, low residue diet, less fiber, Metoclopramide (Reglan), which also treat bloating, causing diarrhea
2. Orexigenic appetite stimulant
a. Megestrol acetate (Megace)
b. Corticosteroid: Dexamethasone, causing indigestion (dyspepsia) (fixed by acid suppression Proton-pump inhibitor PPI, which also treat bloating)
c. Antidepressant: Mirtazapine (Remeron) also treat Gastroparesis
* Symptom of Loss of Appetite During Cancer Treatment
* Anorexia and Weight Loss
3. Cancer-related fatigue, lethargy: Antidepressant Methylphenidate (ritalin)
Methylphenidate May Improve Fatigue in Some Advanced Cancer
Rectal tenesmus, pain-reliever Methadone
IBS, Opioid antidiarrhoeal, Ondansetron (Zofran), Antispasmodic (Anticholinergic)
irritable bowel syndrome
Thursday, September 08, 2016
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