Nausea and vomiting in advanced cancer: the Cleveland Clinic protocol.

  title={Nausea and vomiting in advanced cancer: the Cleveland Clinic protocol.},
  author={Mona Gupta and Mellar P Davis and Susan B Legrand and Declan Walsh and Ruth L Lagman},
  journal={The journal of supportive oncology},
  volume={11 1},
Nausea and vomiting are common and distressing symptoms in advanced cancer. Both are multifactorial and cause significant morbidity, nutritional failure, and reduced quality of life. Assessment includes a detailed history, physical examination and investigations for reversible causes. Assessment and management will be influenced by performance status, prognosis, and goals of care. Several drug classes are effective with some having the added benefit of multiple routes of administration. It is… CONTINUE READING
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