Approaches to Chemotherapy-Induced Nausea and Vomiting

Program Description:

Even though a number of new antiemetic drugs have become available in the past two decades, chemotherapy-induced nausea and vomiting (CINV) remains among the top three complaints of patients undergoing chemotherapy. Excellent progress has been made in the prevention of acute-onset CINV, but delayed CINV remains a problem. Nurses should understand the various medications available and be aware of the underlying pharmacology of these drugs in order to manage CINV most successfully.

Activity Objectives:

On completion of this educational activity, participants should be better able to:

• Describe the physiologic mechanisms of chemotherapy-induced nausea and vomiting (CINV)


• List three actions that can help to manage CINV


• Describe three CAM modalities that are helpful in managing CINV

Faculty:

Donald R. Fleming, MD
Cancer Care Center, Davis Memorial Hospital
Elkins, West Virginia

Disclosures:

Faculty
Donald R. Fleming, MD, reported no financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CE activity.

Planners, reviewers, and staff
Fiona J. Shannon, MHS, FNP; Phyllis Arn Zimmer, MN, FNP, FAAN; Tanya Gregory, PhD; Kristen Childress, DNP, ARNP and Connie Morrison-Hoogstede, MN, ARNP, AOCNP, reported no financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CE activity.

Accreditor Disclosure:
The Nurse Practitioner Healthcare Foundation (NPHF) assesses conflict of interest with its instructors, planners, reviewers, and other individuals who are in a position to control the content of CE activities. All relevant conflicts of interest that are identified are thoroughly vetted by NPHF for fair balance, scientific objectivity of studies utilized in this activity, and patient care recommendations. NPHF is committed to providing its learners with high quality CE activities and related materials that promote improvements or quality in health care.

Disclosure of Unlabeled Use
This educational activity does not contain discussion of any published and/or investigational uses of agents that are not indicated by the FDA.

Disclaimer
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of or imply endorsement by NPHF, the American Nurses Credentialing Center, or Haymarket Media, Inc. As this article contains only a review, participants have an implied responsibility to use this newly acquired information while also consulting other appropriate sources of information in order to gain full understanding of the topic.

Accredited Provider:

Co-sponsored by the Nurse Practitioner Healthcare Foundation and Haymarket Media Inc.

Instructions:

To obtain credit, a score of 80% or better is required. This CNE is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the posttest survey, and have received your digital copy of your credit certificate. Your online certificate will be saved on myCME.com within your Profile/Exam History, which you can then access at any time.

SYSTEM REQUIREMENTS:

WINDOWS PC SYSTEM REQUIREMENTS:
266-MHz Pentium II; Windows 98 or higher; 64 MB RAM; 800 x 600 screen resolution set for “High Color (16-Bit)”; Macromedia Flash Player 6 or higher.

MACINTOSH^® SYSTEM REQUIREMENTS:
Power Mac g3 at 300 MHz; System 8.5 or higher (excluding Mac OSX); 96 MB RAM; 20 MB minimum hard disk space available; 800 x 600 screen resolution set to “Thousands of Colors”; Macromedia Flash Player 6 or higher.