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==The Vomit Reflex==
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==[[Vomiting#The Vomit Reflex|The Vomit Reflex]]==
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[[Image:The Vomit Reflex Pathway.jpg|right|thumb|150px|The Vomit Reflex - Copyright nabrown RVC]]
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*Emesis is the process of vomiting
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*Persistent vomiting can be exhausting and can lead to metabolic alkalosis, dehydration and electrolyte inbalances which may require fluid therapy
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*Extreme cases of persistent vomiting can lead to shock
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*Retching involves the abdominal and chest walls contracting
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*Vomiting includes retching and the action of the diaphragm
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*Diaphragm moves caudal to open the cardia
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*Gastrointestinal tract have protective stimuli to recognise harmful products ingested. The mechanoreceptors and chemoreceptors respond using viscerent afferent pathways.
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*Medulla co-ordinates process
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*Chemoreceptive trigger zone in the 4th ventricle responds to blood and CSF
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*Inputs also from inner ear and higher centres
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*Emetic agents can be used in cases of gastric obstruction and to remove non-corrosive poisons from the stomach (for corrosive poisons charcoal can be used which will help adsorb the substance and decrease its absorbtion into the GIT)
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*For more information on emetic and anti-emetic drugs click [[Emetics and Anti-Emetic Drugs|here]]
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===Emetic agents===
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*Drugs cause emesis by irritating the gastric mucosa
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**Histamine
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**ACh
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**Dopamine
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**Catecholamines
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**5-hydroxytryptamine
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**Substance P
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**Enkephalins
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**NK1 receptor agonists
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===Anti-emetic agents===
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*Anti-emetic agents can be used to treat motion sickness and to treat or prevent vomiting
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**Dopamine (D2) receptor antagonists
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**5-hydroxytryptamine antagonists
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**NK1 receptor antagonists
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**Muscarinic receptor antagonists
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**Histamine (H1) receptor antagonists
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**Gastroprotective agents
==Species Differences==
==Species Differences==