Acute Abdominal Pain
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 (>12 y/o or 40 kg): 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 (<40 kg): 0.1mg/kg slow IVP (max of 4mg)
- For PO administration
- Pediatric 20-40 kg - Administer 1/2 ODT tab
- Children >40 kg - Use adult dose
- NOTE: Use PO administration route for conscious patients ONLY.
- For PO administration
- Adult (>12 y/o or 40 kg): 4mg slow IVP or 1 ODT tab.
- PHENERGAN (PROMETHAZINE):
- Adult (>12 y/o or 40 kg): 12.5 MG DILUTED and slow IVP or IM.
- Pediatric (<40 Kg): 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.