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EMR
EMT
AEMT
Paramedic
Extended
Nausea / Vomiting
Nausea / Vomiting
Universal Patient Assessment
Oxygen
Titrate SpO2 to 94%
Cardiac Monitor
12-Lead ECG
If
EMT
or STEMI, transmit
Adult IV/IO
Check BGL
Normal Saline Bolus
1000mL
If no history of congestive
heart failure, no pulmonary
edema, and vomiting has
been persistent for hours.
Nausea/Vomiting?
Emesis management in
pregnant females is
common and safe with
Zofran
.
Suspected cardiac etiology?
Yes
No
Appropriate Protocol
STEMI
Appropriate Protocol
Zofran
4mg IV/IM
May repeat once in adults >18
years to
maximum
of 8mg
Or
Zofran
4mg ODT
May repeat once in adults >18
years to
maximum
of 8mg