Scribd Logo
Upload

Welcome to Scribd!

  • CVS Action Plan v2

    Uploaded by

    andrew herring
    105 views1 page
    This document outlines a home action plan for cyclic vomiting syndrome with three zones - green, yellow, and red - corresponding to the patient's symptoms and the appropriate treatment. The green zone indicates no symptoms where baseline prophylactic medications are taken. The yellow zone signifies early symptoms where supportive medications are increased. The red zone represents an acute exacerbation requiring rest, hydration, and potentially emergency treatment if symptoms are not improving after 1-2 hours.

    Original Description:

    cvs

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document outlines a home action plan for cyclic vomiting syndrome with three zones - green, yellow, and red - corresponding to the patient's symptoms and the appropriate treatment. The green zone indicates no symptoms where baseline prophylactic medications are taken. The yellow zone signifies early symptoms where supportive medications are increased. The red zone represents an acute exacerbation requiring rest, hydration, and potentially emergency treatment if symptoms are not improving after 1-2 hours.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    105 views1 page

    CVS Action Plan v2

    Uploaded by

    andrew herring
    This document outlines a home action plan for cyclic vomiting syndrome with three zones - green, yellow, and red - corresponding to the patient's symptoms and the appropriate treatment. The green zone indicates no symptoms where baseline prophylactic medications are taken. The yellow zone signifies early symptoms where supportive medications are increased. The red zone represents an acute exacerbation requiring rest, hydration, and potentially emergency treatment if symptoms are not improving after 1-2 hours.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Cyclic Vomiting Syndrome Home Action Plan

    Green Zone

    Signs/Symptoms

    Treatment

    Happy & Healthy

    None, some mild


    nausea

    Prophylactic medications:
    1. Mirtazapine 15 mg PO QHS
    2. Gabapentin 300/300/600 (am, noon, HS)
    - need to titrate up to this dose
    3. Consider adding amitryptiline 100mg PO QHS
    - need to titrate up to this dose
    Supplements
    a. L-carnitine 1 gram PO BID
    b. CoQ10 200 mg PO BID
    c. Vitamin B2 100 mg PO QD

    No triggers

    Note: List typical triggers here:


    Yellow Zone

    Signs/Symptoms

    Treatment

    Triggers present

    Increasing nausea
    Decreasing food
    tolerance
    Abdominal
    discomfort
    Mood instability

    Supportive medications:
    1. Increase mirtazapine to 30 mg PO QHS
    And add
    2. Ondansetron 8 mg SL Q8H
    3. Diphenhydramine 25 mg PO Q8H
    4. Ketorolac 10 mg PO Q8H

    Early typical
    symptoms of an
    acute episode

    Note: Contact PCP to consider MHP evaluation or visit to NTR


    Red Zone
    Acute exacerbation

    Signs/Symptoms

    Treatment

    Active vomiting
    Continuous nausea

    At onset of Red Zone symptoms


    1. Warm shower or bath
    2. Quiet, dark room
    3. Frequent small sips of fluid
    4. Sumatriptan 20mg nasal spray, repeat in 2H
    5. Diphenhydramine 50 mg PO Q8H
    If ineffective after 1-2 hours, call nurse advice line
    or go to ER

    You might also like