Abdominal Pain Protocol

Question 1

visceral pain

Answer 1

crampy, colicky, gaseous. Usually intermittent, usually from obstruction

Question 2

somatic pain

Answer 2

sharp, more constant, precisely located. usually chemical or bacterial irritation

Question 3

With abdominal pain look for:

DR PSTN VDC

Answer 3

distention, rigidity, unequal or absent femoral pulses, diaphoresis, tenderness, nausea, vomiting, diarrhea, difficulty urinating, constipation, fever, headache, weakness, rash

Question 4

Differentials for abdominal pain

Answer 4

pneumonia, CHF, PE, hepatits, ulcer, gastritis, gall stones, AMI, pancreatitis, kidney stone, AAA, appendicitis, UTI, PID, ovarian cyst, ectopic pregnancy, spleen enlargement, bowel obstruction, gastroenterititis

Question 5

Walk through abdominal treatment BLS to ALS

Answer 5

Oxygen, assess for pulsating masses, cardiac monitor, 12 lead, IV established. administer Zofran is nauseated.

Question 6

What is dosage of Zofran?

Answer 6

0.1mg/kg slow IVP over 2-5 min. Max dose is 4.0 mg.