Nausea and Vomiting

Question 1

In a pediatric pt, what are the first line of medications and doses to treat nausea and vomiting?

Answer 1

• 0.1 mg/kg IVP Ondansetron (Max Dose 4mg)

and/or

• 0.1 mg/kg IVP Metoclopramide (Max Dose 10mg)

Question 2

In a pediatric pt, if the nausea and vomiting is not successfully managed with previous medications and/or pt develops a dystonic reaction, what medication and dose is next line?

Answer 2

• 1 mg/kg Diphenhydramine (Max Dose 50mg)

Question 3

In an adult female who is pregnant and within the first 12 weeks of pregnancy, what is the first line medication and dose to manage Nausea and Vomiting?

Answer 3

• 10 mg IVP Metoclopramide

Question 4

In a non pregnant female patient, what is the first line medication and dose to manage nausea and vomiting?

Answer 4

• 4mg IVP Ondansetron

Question 5

For a pregnant female pt in which first line medication was unsuccessful at the management of nausea and vomiting and/or showing signs of dystonic reaction, what is the next line medication and dose?

Answer 5

• 10 - 50 mg IVP Diphenhydramine

Question 6

For an non pregnant pt whose nausea and vomiting was unsuccessfully managed with first line medication, what are the next line medications and dose for managment?

Answer 6

• 10 mg IVP Metoclopramide
• 10 - 50 mg IVP Diphenhrdramine