- Time of last meal
- Last bowel movement/emesis
- Improvement or worsening with food or activity
- Duration of problem
- Other sick contacts
- Character of pain
Associated symptoms (helpful to localize source)
- Blurred Vision
- Mental status changes
- Increased pressure
- CNS lesions
- Myocardial infarction
- GI/Renal disorders
- Diabetic Ketoacidosis
- Electrolyte abnormalities
Signs of hypotension ?
8-15 kg ?
- Zofran 2 mg slow IV/IM over 2 min
≥ 15 kg
- Zofran 4 mg slow IV/IM; may be repeated in 10 mins; 4 mg ODT can be substituted
- Notify receiving facility or contact Medical Control
- ODT Zofran (Ondansetron) 4 mg can be given to a previously healthy child > 6 months of age.
- Use Broselow tape for pediatric drug dosages.
- Zofran (Ondansetron) can cause QT widening.
- Use ODT (orally disintegrating tablets) with caution in adult patients complaining of abdominal pain.
- For ODT, place one tablet on top of patient's tongue.
- Beware of vomiting in children. Pyloric stenosis, bowel obstruction, and central nervous system processes (bleeding tumors, or increased cerebral spinal fluid pressure) all often present with vomiting.
- Document the mental status and vital signs prior to administration of antiemetic medications.