Table of Contents Table of Contents
Previous Page  16 / 46 Next Page
Information
Show Menu
Previous Page 16 / 46 Next Page
Page Background

14

NCCN Guidelines for Patients

®

Nausea and Vomiting, Version 1.2016

2

Causes

What are the types of nausea and vomiting?

Guide 2. Types of chemotherapy-induced nausea and vomiting

Types

Details about the types

Acute

happens within a few minutes or

several hours of treatment.

• This type usually stops within the first 24 hours of treatment.

• The level of intensity of acute nausea and vomiting will go down

(peak) after 5

6 hours.

• This type is caused by a history of nausea and vomiting, the type

of cancer treatment, and amount given.

• Chemotherapy given for more than one day can cause this type.

• It usually occurs in woman young than 50 years of age who:

◦◦ Only drink small amounts of alcohol.

◦◦ Have a history of being sick from motion.

◦◦ Had morning sickness (nausea and vomiting) during

pregnancy.

Delayed

occurs more than 24 hours

after treatment is given.

• This type happens with chemotherapy drugs like cisplatin,

carboplatin, cyclophosphamide, and doxorubicin.

• For cisplatin, the vomiting gets to its highest intensity 48

72

hours after it is given. It can then last for 6

7 days.

• Chemotherapy given for more than one day can cause this type.

Anticipatory

happens before the next

treatment is given.

• This type is based on a bad past experience when getting

treatment. You feel the bad experience all over again.

• Nausea is more common than vomiting with this type.

• Younger people with cancer are more likely to have this type

because:

◦◦ They can be given more intense than usual (aggressive)

treatments.

◦◦ It can be harder for younger people to control vomiting.

Breakthrough

refers to nausea and

vomiting that happens despite trying to

prevent it with drugs.

• Anti-nausea and vomiting drugs called antiemetics are used to

treat this type.

Refractory

refers to nausea and

vomiting that keeps happening even

when using drugs to stop or prevent it.

• The nausea and vomiting will keep happening with each

following treatment.

• The treatment for the nausea or vomiting is not working in the

body

.