Acute Abdominal Pain

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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.