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Palliative Medicine
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Use of clinical pictures in the management of nausea and vomiting: a prospective audit

Angela Bentley

Kirsty Boyd

This prospective audit aimed to evaluate a guideline for the management of nausea and vomiting in palliative care inpatients. Clinical pictures were used to guide diagnosis and treatment, with potentially reversible causes being addressed where appropriate. Over a 3-month period, 40 patient episodes occurred, all of which were included in the audit. The commonest clinical pictures were gastric stasis/outlet obstruction (35%) and chemical/metabolic (30%). Management according to the guideline was effective. Nausea was abolished in 28 of 34 cases (82%) and vomiting resolved completely in 26 of 31 cases (84%). Symptoms were totally controlled in a mean time of 3.4 days.

Nausea and vomiting, although distressing symptoms, can be controlled in the majority of cases. Multi-centre prospective audit, using a standardized tool, may prove useful in allowing larger numbers of patients to be systematically analysed and individual centres to compare outcomes.

Key Words: audit • antiemetics • nausea • neoplasms • palliative treatment • vomiting

Palliative Medicine, Vol. 15, No. 3, 247-253 (2001)
DOI: 10.1191/026921601678576239
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