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.
  • 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.
• If suspected Kidney Stones, refer to SUSPECTED KIDNEY STONE parameter (5.18)
• Refer to ANALGESIA/SEDATION PRACTICE PARAMETERS (2.04)
• Administer nothing by mouth.