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 (>12 y/o or 40 kg): 4mg slow IVP or 1 ODT tab.  
*** 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 (<40 kg): 0.1mg/kg slow IVP (max of 4mg)
*** Pediatric: Refer to Handtevy System
****For PO administration
***'''NOTE''': Use PO administration route for conscious patients '''ONLY'''.
*****Pediatric 20-40 kg - Administer 1/2 ODT tab
*****Children >40 kg - Use adult dose
****'''NOTE''': Use PO administration route for conscious patients '''ONLY'''.
** [[Antiemetics|PHENERGAN (PROMETHAZINE)]]:
** [[Antiemetics|PHENERGAN (PROMETHAZINE)]]:
*** Adult (>12 y/o or 40 kg): 12.5 MG DILUTED and slow IVP or IM.
*** Adult (>13 y/o): 12.5 MG DILUTED and slow IVP or IM.
*** Pediatric (<40 Kg): 0.25 – 1 mg/Kg DILUTED and slow IVP or IM.
*** 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.
    • 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.
  • If suspected Kidney Stones, refer to SUSPECTED KIDNEY STONE parameter (5.18)
  • Refer to ANALGESIA/SEDATION PRACTICE PARAMETERS (2.04)
  • Administer nothing by mouth.