Nausea-Vomiting

Table of Contents

Aliases

Gastroenteritis, emesis

Patient Care Goals

Decrease discomfort secondary to nausea and vomiting

Patient Presentation

Inclusion Criteria

Currently nauseated and/or vomiting

Exclusion Criteria

No recommendations

Patient Management

Assessment

1. Routine patient care (vital signs)
2. History and physical examination focused on potential causes of nausea and vomiting (e.g. gastrointestinal, cardiovascular, gynecologic, hypoglycemia, hyperglycemia)

Treatment and Interventions

1. Anti-emetic medication
   1. Ondansetron
      1. Adult:
         1. 4mg IV/PO/SL (IV formulation)
         2. 4 mg SL (ODT formulation)
      2. Pediatric (6 months old –14 yo): 0.15 mg/kg IV/PO, max dose of 4 mg (IV Formulation)
   2. Isopropyl alcohol – Allow patient to inhale vapor from isopropyl alcohol wipe 3 times every 15 minutes as tolerate
      1. Available to BLS and ALS Providers
2. If signs of hypovolemia, administer Normal Saline
   1. Adult: 500 mL IV/IO unless contraindicated (e.g. h/o CHF, renal failure)
   2. Pediatric: Consider 10 mL/kg IV fluid unless contraindicated (e.g. by potential fluid overload)
   3. May repeat as indicated

Notes – Nausea-Vomiting