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    Subjects/Pharmacology/Antiemetics
    Antiemetics
    hard
    pill Pharmacology

    A 68-year-old man with advanced gastric cancer presents to the emergency department with intractable vomiting for 6 hours. He has a history of gastric outlet obstruction and is currently on metoclopramide 10 mg TDS. On examination, he is dehydrated and has visible peristaltic waves. Abdominal imaging confirms gastric outlet obstruction with no acute perforation. What is the most appropriate next step in management?

    A. Switch to domperidone 10 mg TDS as metoclopramide is contraindicated in mechanical obstruction
    B. Administer IV fluids for rehydration, place nasogastric tube for decompression, and discontinue metoclopramide; arrange surgical consultation for definitive management
    C. Administer high-dose dexamethasone 12 mg IV to reduce gastric edema and allow passage of food bolus
    D. Continue metoclopramide and add ondansetron 8 mg IV; arrange urgent gastroenterology consultation for endoscopic stenting

    Explanation

    ## Management of Vomiting in Mechanical Gastric Outlet Obstruction ### Critical Distinction: Mechanical vs. Functional Obstruction **Key Point:** Prokinetic agents (metoclopramide, domperidone) are **contraindicated in mechanical obstruction** because they increase intraluminal pressure against a fixed anatomical blockade, worsening symptoms and risking perforation. ### Why Metoclopramide Is Harmful Here Metoclopramide works by: - Blocking dopamine receptors → enhancing acetylcholine effect - Increasing gastric contractions and antral peristalsis **In mechanical obstruction:** Increased gastric contractions against a fixed blockade (tumor, stricture, edema) leads to: 1. Increased intragastric pressure 2. Risk of gastric perforation 3. Worsening of vomiting and abdominal pain 4. Delayed definitive treatment **Warning:** Prokinetics are a **trap answer** in mechanical obstruction scenarios. They are appropriate only for functional/motility disorders (gastroparesis, GERD). ### Correct Management Algorithm ```mermaid flowchart TD A[Vomiting + Gastric Outlet Obstruction]:::outcome --> B{Mechanical or Functional?}:::decision B -->|Mechanical<br/>confirmed on imaging| C["STOP prokinetics<br/>immediately"]:::urgent C --> D["1. IV fluid resuscitation<br/>2. Nasogastric tube<br/>3. NPO status"]:::action D --> E{Etiology?}:::decision E -->|Malignancy| F["Endoscopic stenting<br/>or surgical bypass"]:::action E -->|Benign stricture| G["Endoscopic dilation<br/>or surgical reconstruction"]:::action E -->|Edema/inflammation| H["Medical management<br/>+ repeat imaging"]:::action B -->|Functional<br/>gastroparesis| I["Metoclopramide<br/>+ domperidone"]:::action ``` ### Symptomatic Management Without Prokinetics | Step | Rationale | |------|----------| | **IV fluid resuscitation** | Correct dehydration and electrolyte imbalance (hypochloremic hypokalemic metabolic alkalosis from vomiting) | | **Nasogastric tube** | Decompress stomach, relieve pressure, allow monitoring of output | | **Antiemetics** (ondansetron, metoclopramide STOPPED) | Control nausea/vomiting without worsening obstruction | | **NPO status** | Prevent further gastric distension | | **Definitive intervention** | Endoscopic stenting (malignancy), surgical bypass, or dilation (stricture) | **Clinical Pearl:** In gastric cancer with outlet obstruction, **endoscopic self-expanding metal stent (SEMS)** placement is now preferred over surgery in many cases, offering faster symptom relief and shorter hospital stay. However, the *immediate* next step is always decompression and fluid resuscitation. **High-Yield:** The mnemonic **"STOP-DECOMPRESS"** for mechanical obstruction: - **S**TOP prokinetics - **T**reat dehydration (IV fluids) - **O**ral NPO - **P**lace NG tube - **D**efine etiology (imaging) - **E**ndoscopy or surgery for definitive management - **C**ontinue antiemetics (5-HT₃ antagonists safe) - **O**bserve output and clinical response - **M**onitor electrolytes - **P**repare for intervention - **R**efer to gastroenterology/surgery - **E**valuate for complications - **S**upport nutrition (TPN if prolonged) - **S**ymptomatic relief [cite:Harrison 21e Ch 40; KD Tripathi 8e Ch 16]

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