Orris

Patient is on fasting navaryi now complain of vominting 5-6 epi unable to diagesy anything k/c/o htn what to do treatment with dose and all i. Detaile

Reading File
Finding Sources
Finding Sources
Searching PubMed

vomiting AND dehydration

Searching the Web

adult vomiting dehydration unable to keep fluids down emergency warning signs official guideline

This patient needs urgent in-person assessment today, preferably an Emergency Department now. Vomiting 5-6 times and being unable to keep down fluids or medicines can quickly cause dehydration, electrolyte imbalance, kidney injury, and missed blood-pressure medication. Fasting should be stopped immediately.

Go to emergency care now, especially if any of these are present

  • Cannot keep even small sips of fluid down
  • Very little/no urine for 8 hours, dark urine, marked dizziness, fainting, confusion, unusual sleepiness
  • Severe weakness, fast heartbeat, dry mouth, sunken eyes
  • Severe headache, chest pain, breathlessness, weakness/numbness, trouble speaking, vision change
  • Severe abdominal pain, distension, no passage of stool/gas
  • Green vomit, blood or coffee-ground-like vomit
  • Fever with severe headache/stiff neck
  • BP 180/120 mmHg or higher, particularly with any of the symptoms above
A hypertensive emergency requires monitored hospital treatment with IV medicines, not home dosing. Persistent vomiting or inability to retain fluids also merits urgent care, as summarized by MedlinePlus vomiting guidance and NHS emergency advice.

What to do while arranging transport

  1. Stop the Navratri fast. Health takes priority.
  2. Keep the patient sitting upright or lying on their side if actively vomiting.
  3. If fully awake and not choking, try ORS in very small, frequent amounts:
    • 5-10 mL, about 1-2 teaspoons, every 1-2 minutes.
    • If vomiting occurs, pause 10 minutes, then restart more slowly.
    • Use packet ORS mixed exactly according to its label. Avoid large glasses at once, fizzy drinks, alcohol, and very sugary juices.
  4. Check and write down: BP, pulse, temperature, time/number of vomiting episodes, urine output, diabetes status, all medicines, and any missed doses.
  5. Do not give extra or double doses of blood-pressure tablets to compensate for vomited or missed tablets. Do not use someone else’s anti-vomiting injection/tablet.

Medication

I cannot safely prescribe an antiemetic or BP dose online from this information. Dose selection depends on age, pregnancy possibility, ECG/QT risk, kidney/liver disease, diabetes, the actual BP, and current drugs. Medicines such as ondansetron, metoclopramide, promethazine, or IV fluids may be appropriate only after a clinician evaluates the cause and hydration status.
If the patient normally takes a BP tablet and can reliably keep a usual scheduled dose down, they should generally take it as prescribed, but do not repeat it if it is vomited unless a doctor or pharmacist tells you to. If they cannot retain medicines, the treating clinician needs to manage this.
Please arrange emergency evaluation now rather than trying to treat this only at home.

Tell me what to give medicine tablets

Reading File
Finding Sources
Searching PubMed

acute vomiting AND antiemetic

Searching the Web

vomiting cannot keep fluids down adult urgent medical care MedlinePlus

Do not give a new tablet at home if the patient is unable to keep anything down. A tablet will likely be vomited out, and repeated vomiting can need IV fluids and an injected/IV anti-vomiting medicine after examination.
Take them to an emergency department/clinic now, especially with hypertension.
Until seen:
  • Stop fasting.
  • Give ORS only, 1-2 teaspoons every 1-2 minutes. If they vomit, wait 10 minutes and restart slowly.
  • Do not give painkillers such as ibuprofen/diclofenac, antibiotics, or extra BP tablets.
  • Do not double the regular BP medicine or repeat it after vomiting without a clinician's direction.
  • If they already have an anti-vomiting medicine previously prescribed specifically for them, follow the exact prescription label only.
If BP is 180/120 or above, or there is severe headache, chest pain, breathlessness, confusion, weakness, vision/speech problem, very low urine, severe abdominal pain, green/bloody vomit: emergency care immediately.
A clinician must check BP, dehydration, glucose, kidney function/electrolytes, and the cause of vomiting before deciding the correct antiemetic and dose. Persistent vomiting or inability to retain fluids requires urgent evaluation, as MedlinePlus advises.
This is a shared conversation. Sign in to Orris to start your own chat.