GI/Nausea

Question 1

Differential Diagnosis

Answer 1

• MI
• Drugs (NSAID’s, chemo, antibiotics)
• Chronic GI or Renal Disorders
• DKA
• OB-Gyn disease (ovarian cyst, PID,
  Pregnancy)
• Infections (pneumonia, influenza)
• Food or toxin induced

Question 2

S/S

Answer 2

• Pain/Radiation/Myalgias:
• Distention
• Constipation or Diarrhea
• Anorexia
• Weakness
• Malaise
• Fever
• Cough
• Headache
• Blurred vision
• Dysuria
• ALOC
• Rash

Question 3

Initial Actions

Answer 3

• Assess all VS
• Rule out D/D
• Quick Physical Assessment
• Obtain IV

Question 4

TX

Answer 4

• 20 mL/kg NS/LR fluid bolus (max 1 L)
  *May repeat fluid bolus
• 0.15 mg/kg Zofran (4mg MAX)
  *Do not give if age <3 mos
  *May repeat 1x in 15min
• 0.2mg/kg Ketamine SIVP (20mg MAX); Can repeat 1x in 10min