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This Concept Map, created with IHMC CmapTools, has information related to: 314_Adult N&V, Symptoms related to medication use? Yes Consult with PCP about discontinuing the medication or decreasing the dose. Advise taking medication with food or change timing of medication, if appropriate. Reassess in 24-48h., Pt taking antiemetic? Yes If antiemetic used properly without resolution of symptoms, refer to PCP., Recommend avoiding precipitating factors. Depending on suspect etiology, recommend appropriate OTC product to control symptoms. Reassess in 1 week or earlier, depending on suspect etiology. Symptoms resolved?, Symptoms related to motion sickness? No Pregnant pt with mild symptoms?, Symptoms related to food poisoning or viral gastroenteritis? Yes Recommend eliminating contaminated food & eating bland diet or nothing if diarrhea & vomiting are excessive. Explain risk for food poisoning & proper food storage. Explain signs/symptoms of dehydration. At pt's request, initiate ORS. Antiemetics usually not necessary, but given at pt's request. Reassess in 24h., Exclusion for self treatment? No Symptoms related to motion sickness?, Recommend avoiding known disagreeable foods; coffee, tea, & alcohol; & smoking. Recommend reducing stress & losing weight, if applicable. At pt's request, OTC H2RAs, antacids, bismuth containing products, or phosphorated carbohydrate solution. Reassess in 1 week. Symptoms Resolved?, Symptoms related to motion sickness? Yes Recommend nonpharmacologic measures. At pt's request,OTC AHs to improve symptoms. Symptoms should resolve when motion exposure ends., Symptoms Resolved? Yes Recommend continuing lifestyle changes & avoiding precipitating factors., Symptoms Resolved? No Medical Referral, Healthy patient with episodic or situational N/V Yes Pt taking antiemetic?, Pregnant pt with mild symptoms? Yes Recommend initiating rest & nonpharmacologic measures. Reassess in 1 week. Medical referral if symptoms continue., Obtain med history; medications, supplements, and diet history. Ask about similar signs/symptoms in family members Exclusion for self treatment?, Symptoms related to overeating or eating disagreeable foods? No Symptoms related to food poisoning or viral gastroenteritis?, Pt taking antiemetic? No Recommend avoiding precipitating factors. Depending on suspect etiology, recommend appropriate OTC product to control symptoms. Reassess in 1 week or earlier, depending on suspect etiology., Symptoms resolved? No Medical Referral, Pregnant pt with mild symptoms? No Symptoms related to overeating or eating disagreeable foods?, Symptoms related to food poisoning or viral gastroenteritis? No Symptoms related to medication use?, Symptoms related to medication use? No Healthy patient with episodic or situational N/V, Symptoms related to overeating or eating disagreeable foods? Yes Recommend avoiding known disagreeable foods; coffee, tea, & alcohol; & smoking. Recommend reducing stress & losing weight, if applicable. At pt's request, OTC H2RAs, antacids, bismuth containing products, or phosphorated carbohydrate solution. Reassess in 1 week.