Pediatric Vomiting Dehydration

Question 1

Pediatric Vomiting Dehydration - BP < 70 + (age x 2)

Answer 1

20 ml/kg bolus

Treat concurrently with shock protocol

Question 2

Pediatric Vomiting Dehydration - Treatment if S/S of severe dehydration?

Answer 2

20 ml/kg bolus

Treat concurrently with shock protocol

Question 3

Pediatric Vomiting Dehydration - Age 4 or less and > 8 kg vomiting medication

Answer 3

Zofran 2 mg PO

Question 4

Pediatric Vomiting Dehydration - Age 4 or greater vomiting medication

Answer 4

Zofran 4 mg PO
or
0.1 mg/kg IV to single max of 4 mg

Question 5

Pediatric Vomiting Dehydration - S/S of severe dehydration

Answer 5

Three must be present:
Tachycardia
Tachypnea
Cap refill > 3 sec
Lethargic, altered LOC
Dry, cold, mottled skin
Decreased or no urine output
Sunken eyes or fontanel

Question 6

Pediatric Vomiting Dehydration - Pt less than 8 kg vomiting medication

Answer 6

Anti emetics should be deferred to the ED

Question 7

Pediatric Vomiting Dehydration - Ondansetron indications

Answer 7

Vomiting

Question 8

Pediatric Vomiting Dehydration - Ondansetron dose

Answer 8

Patient 4 years old or less and weight greater than 8 kg:
2 mg PO (1/2 rapid disintegrating tab)
Or
Patient older than 4 years: 4 mg PO
Or
0.1 mg/kg SIVP/IO to a single max of 4 mg
No repeat dose

Question 9

Pediatric Vomiting Dehydration - Ondansetron EMS contraindications

Answer 9

Hypersensitivity

Question 10

Pediatric Vomiting Dehydration - Ondansetron precautions

Answer 10

ondansetron PO is highly effective and generally well tolerated