Gastrointestinal

2-4-a. Abdominal Pain / GI Bleed

1) For patients with possible large GI bleeds or AAA consider starting two large bore IV lines.

2) For epigastric area pain consider doing an EKG.

3) IV pain management should be done only if needed, after a detailed communication to MD.

2-4-b. Severe Vomiting

1) Choose either oral or intravenous route for treatment. For oral treatment, administer Ondansetron 4 mg sublingual. Repeat once if needed after 5 minutes.

2) For intravenous treatment, establish IV NS at TKO rate. Administer Ondansetron 4 mg slowly IV, over 2 min. May repeat 4 mg IV once after 5 minutes.

3) Apply cardiac monitor and POX, and evaluate patient for possible cardiac or other serious causes of vomiting.