GI/Nausea

Question 1

Differential Diagnosis

Answer 1

• MI
• Drugs (NSAID’s, chemo, antibiotics)
• Chronic GI or Renal Disorders
• DKA
• OB-Gyn disease (ovarian cyst, PID,
  Pregnancy)
• Infections (pneumonia, influenza)
• Food or toxin induced

Question 2

S/S

Answer 2

• Pain/Radiation/Myalgias:
• Distention
• Constipation or Diarrhea
• Anorexia
• Weakness
• Malaise
• Fever
• Cough
• Headache
• Blurred vision
• Dysuria
• ALOC
• Rash

Question 3

How Many Steps

Answer 3

5

Question 4

Step 1

Answer 4

Full VS Assessment (especially Temp & FSBG)

Consider 12 lead EKG for Atypical Presentation of ACS

Question 5

Step 2

Answer 5

Obtain IV Access

Question 6

Step 3

Answer 6

• 20 mL/kg NS/LR fluid bolus (max 1 L)
  *May repeat fluid bolus
• 0.15 mg/kg Zofran (4mg MAX)
  *Do not give if age <3 mos
  *May repeat 1x in 15min

Question 7

Step 4

Answer 7

Consider Pain Management:

0.2mg/kg Ketamine SIVP (20mg MAX); Can repeat 1x in 10min

Question 8

Step 5

Answer 8

Transport

Monitor & Reassess VS

Question 9

Special Considerations

Answer 9

Isolated Vomiting in Children >24hr