AV - Adult - Precis Notes - Nausea and Vomiting

Question 1

A0701 - Nausea and Vomiting

Dot points?

Answer 1

• Stop
• Undifferentiated N & V
• Vestibular Nausea
• Prophylaxis

Question 2

A0701 - Nausea and Vomiting

Stop point/s?

Answer 2

Prochlorperazine must NOT be given IV

Question 3

A0701 - Nausea and Vomiting

Undifferentiated N & V points?

Answer 3

• Ondansetron 4mg ODT,
  Rpt dose: 4mg @ 5-10/60, Max: 8mg
• CI to Ondansetron, AND > 21 yrs, Prochlorperazine 12.5mg IM
• Adequate perfusion but significant dehydration:
  » N/S 20mL/kg over 30/60
• Less than adequate perfusion:
  » N/S 40mL/kg TTR (Consult / give further N/S 20mL/kg to Max: 60mL/kg)
• No ODT / IV insitu:
  » Ondansetron 8mg IV slow push

Question 4

A0701 - Nausea and Vomiting

Vestibular nausea?

Answer 4

• > = 21 yrs - Prochlorperazine 12.5mg IM

- < 21 yrs - Ondansetron as per CPG

Question 5

A0701 - Nausea and Vomiting

Prophylaxis?

Answer 5

• Ondansetron as per CPG

- CI to Ondansetron, AND > 21 yrs, Prochlorperazine 12.5mg IM