Acute Abdominal Pain: Difference between revisions
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* For patients with severe vomiting, obtain detailed history, and then administer an appropriate antiemetic. | * For patients with severe vomiting, obtain detailed history, and then administer an appropriate antiemetic. | ||
** [[Antiemetics|ZOFRAN (ONDANSETRON HYDROCHLORIDE)]]: | ** [[Antiemetics|ZOFRAN (ONDANSETRON HYDROCHLORIDE)]]: | ||
*** Adult | *** Adult: 4mg slow IVP or 1 ODT tab. | ||
****When administering IV, consider diluting in 10-20cc to aid in administering slowly or 4mg/2ml deep IM in a large muscle. | ****When administering IV, consider diluting in 10-20cc to aid in administering slowly or 4mg/2ml deep IM in a large muscle. | ||
*** Pediatric | *** Pediatric: Refer to Handtevy System | ||
***'''NOTE''': Use PO administration route for conscious patients '''ONLY'''. | |||
** [[Antiemetics|PHENERGAN (PROMETHAZINE)]]: | ** [[Antiemetics|PHENERGAN (PROMETHAZINE)]]: | ||
*** Adult (> | *** Adult (>13 y/o): 12.5 MG DILUTED and slow IVP or IM. | ||
*** Pediatric | *** Pediatric: 0.25 – 1 mg/Kg DILUTED and slow IVP or IM. | ||
* If suspected Kidney Stones, refer to [[Suspected Kidney Stone|SUSPECTED KIDNEY STONE]] parameter (5.18) | * If suspected Kidney Stones, refer to [[Suspected Kidney Stone|SUSPECTED KIDNEY STONE]] parameter (5.18) | ||
* Refer to [[Analgesia and Sedation|ANALGESIA/SEDATION PRACTICE PARAMETERS]] (2.04) | * Refer to [[Analgesia and Sedation|ANALGESIA/SEDATION PRACTICE PARAMETERS]] (2.04) |
Revision as of 18:36, 25 April 2016
Section 5 - MEDICAL
5.01 ACUTE ABDOMINAL PAIN
CONSIDER CARDIAC ETIOLOGY.
INITIAL MEDICAL CARE (2.01) - Provide OXYGEN or assist ventilations as appropriate for patient condition. Use vomiting precautions.
- If hypotension / shock is present, refer to SHOCK PRACTICE PARAMETER (5.13).
- For patients with severe vomiting, obtain detailed history, and then administer an appropriate antiemetic.
- ZOFRAN (ONDANSETRON HYDROCHLORIDE):
- Adult: 4mg slow IVP or 1 ODT tab.
- When administering IV, consider diluting in 10-20cc to aid in administering slowly or 4mg/2ml deep IM in a large muscle.
- Pediatric: Refer to Handtevy System
- NOTE: Use PO administration route for conscious patients ONLY.
- Adult: 4mg slow IVP or 1 ODT tab.
- PHENERGAN (PROMETHAZINE):
- Adult (>13 y/o): 12.5 MG DILUTED and slow IVP or IM.
- Pediatric: 0.25 – 1 mg/Kg DILUTED and slow IVP or IM.
- ZOFRAN (ONDANSETRON HYDROCHLORIDE):
- If suspected Kidney Stones, refer to SUSPECTED KIDNEY STONE parameter (5.18)
- Refer to ANALGESIA/SEDATION PRACTICE PARAMETERS (2.04)
- Administer nothing by mouth.