Patient Care and Monitoring CINV


• Using a visual analogue or numerical rating scale (0 to 10), have the patient rate the severity of nausea (assess nausea first, then move on to emesis)

• Daily, ask about the number of emesis episodes in the last 24 hours

• Assess scheduled and breakthrough medication adherence Counsel the patient regarding his or her antiemetics

• Explain which drugs are taken as prophylaxis to prevent nausea and vomiting, and which are taken as needed to treat it

• Have the patient journal when a dose is taken in relation to the chemotherapy. Encourage journaling the severity and frequency of nausea, vomiting, diet and anti-emetic adherence

• Discuss expected/common side effects of antiemetic medications

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