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    Nausea and Vomiting (PDQ®): Supportive care - Health Professional Information [NCI] - Overview

    Table 1. National Cancer Institute's Common Terminology Criteria for Adverse Events: N&Va

    Adverse Event Grade Description
    N&V = nausea and vomiting (emesis); TPN = total parenteral nutrition.
    a Adapted from National Cancer Institute.[10]
    b Definition: A disorder characterized by a queasy sensation and/or the urge to vomit.
    c Definition: A disorder characterized by the reflexive act of ejecting the contents of the stomach through the mouth.
    Nauseab 1 Loss of appetite without alteration in eating habits
    2 Oral intake decreased without significant weight loss, dehydration, or malnutrition
    3 Inadequate oral caloric or fluid intake; tube feeding, TPN, or hospitalization indicated
    4 Grade not available
    5 Grade not available
    Vomitingc 1 1-2 episodes (separated by 5 min) in 24 h
    2 3-5 episodes (separated by 5 min) in 24 h
    3 ≥6 episodes (separated by 5 min) in 24 h; tube feeding, TPN, or hospitalization indicated
    4 Life-threatening consequences; urgent intervention indicated
    5 Death

    References:

    1. Wickham R: Nausea and vomiting. In: Yarbo CH, Frogge MH, Goodman M, eds.: Cancer Symptom Management. 2nd ed. Sudbury, Mass: Jones and Bartlett Publishers, 1999, pp 228-263.
    2. Coates A, Abraham S, Kaye SB, et al.: On the receiving end--patient perception of the side-effects of cancer chemotherapy. Eur J Cancer Clin Oncol 19 (2): 203-8, 1983.
    3. Craig JB, Powell BL: The management of nausea and vomiting in clinical oncology. Am J Med Sci 293 (1): 34-44, 1987.
    4. Passik SD, Kirsh KL, Rosenfeld B, et al.: The changeable nature of patients' fears regarding chemotherapy: implications for palliative care. J Pain Symptom Manage 21 (2): 113-20, 2001.
    5. Grunberg SM, Deuson RR, Mavros P, et al.: Incidence of chemotherapy-induced nausea and emesis after modern antiemetics. Cancer 100 (10): 2261-8, 2004.
    6. Pisters KM, Kris MG: Treatment-related nausea and vomiting. In: Berger A, Portenoy RK, Weissman DE, eds.: Principles and Practice of Supportive Oncology. Philadelphia, Pa: Lippincott-Raven Publishers, 1998, pp 165-199.
    7. Fallon BG: Nausea and vomiting unrelated to cancer treatment. In: Berger A, Portenoy RK, Weissman DE, eds.: Principles and Practice of Supportive Oncology. Philadelphia, Pa: Lippincott-Raven Publishers, 1998, pp 179-189.
    8. Allan SG: Nausea and vomiting. In: Doyle D, Hanks GW, MacDonald N, eds.: Oxford Textbook of Palliative Medicine. 2nd ed. New York, NY: Oxford University Press, 1998, pp 282-290.
    9. Schwartzberg L: Chemotherapy-induced nausea and vomiting: state of the art in 2006. J Support Oncol 4 (2 Suppl 1): 3-8, 2006.
    10. National Cancer Institute: Common Terminology Criteria for Adverse Events (CTCAE), Version 4.0. Bethesda, Md: U.S. Department of Health and Human Services, National Institutes of Health, 2010. Available online. Last accessed August 28, 2014.

    This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http:// cancer .gov or call 1-800-4-CANCER.

    WebMD Public Information from the National Cancer Institute

    Last Updated: 8/, 015
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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