Mnemonic for Vomiting receptors in vomiting center
DASH
- Dopamine (D2) – GI + neurological (psychological, head injury, tumor, viremia, uremia, toxins).
- Note domperidone and metoclopramide are prokinetics
- Acetylcholine (Ach-M) – GI + gonadal pain, biliary pain, myocardial pain
- Serotonin (5HT3) – GI irritants e.g. pancreatitis, ingested toxins, distension, paralytic ileus
- Histamine (H1) – GI + motion, trauma, Meniere’s disease