M - 9 - Nausea/Vomting - Adult & Pediatric

Question 1

Following general pediatric/adult assessment, what is the next step in the decision tree in treating adult/pediatric nausea/vomiting?

Answer 1

Presence of altered mental status w/vomiting
OR
Significant nausea/vomiting

Question 2

If the nausea/vomiting patient cannot protect the airway you should immediately ______.

A. administer Ondansetron by a route of your choice
B. secure the airway by appropriate protocol
C. perform RSI after contacting medical control

Answer 2

B. secure the airway by appropriate protocol

This is primarily through suctioning the airway.

Question 3

If a nausea/vomiting patient is able to protect their airway and has active vomiting, what may be administered?

Answer 3

Ondansetron IV

Question 4

Adult Ondansetron IV dose for all weights, including geriatrics.

A. 2 mg
B. 4 mg
C. 8 mg

Answer 4

B. 4 mg

Question 5

Maximum number of repeats of Ondansetron for nausea/vomiting patients.

Answer 5

Repeat x1 for total of 2 doses

Question 6

Ondansetron IV may be repeated q___min if persistent nausea/vomiting.

A. 2
B. 5
C. 10
D. 15

Answer 6

B. 5

Question 7

With vomiting, a 20 ml/kg NS bolus may be admininstered following Ondansetron if the patient is over what age?

A. 8
B. 10
C. 12
D. 14

Answer 7

C. 12