Abdo pain treatment

Question 1

Appendicitis treatment

Answer 1

-CABCD
-O2 and fluids if needed
-analgesia (paracetamol/ NSAIDS/ morph)
-NBM
-convey ED

Question 2

Acute cholecystitis treatment

Answer 2

-CABCD
-hypotension + fever = possible sepsis so pre alert
-analgesia (paracetamol/ NSAIDS/ morph
-ondansetron if vomiting
-fluids and O2 if needed
-NBM
-convey for surgery

Question 3

Bowel obstruction treatment

Answer 3

-CABCD
-analgesia (para/ NSAIDS/ morph)
-ondansetron
-fluid if needed
-sit in semi fowler’s position (slightly upright)
-convey

Question 4

Ovarian torsion treatment

Answer 4

-CABCD
-analgesia
-ondansetron
-fluid if needed
-convey

Question 5

Ruptured ectopic pregnancy treatment

Answer 5

-CABCD
-analgesia (if vitals stable) (IV para/ morph- not if hypotensive)
-fluids if needed
-convey pre alert

Question 6

Renal colic treatment

Answer 6

-CABCD
-analgesia (NSAIDS/ para if NSAIDS contraindicated/ morph)
-ondansetron
-fluids if needed
-convey (sit in semi fowlers)