Abdominal/Flank Pain,
Nausea & Vomiting
General Adult Assessment
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12 lead ECG if age ≥ 35 yrs
Yes
Signs of
Hypovoliema?
No
Vascular Access
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500 ml
NS
bolus;
may repeat up to 2000 ml
Nausea or
vomiting?
Yes
Consider an anti-emetic:
ONDANSETRON
4.0 mg ODT/IM/IV
or
DROPERIDOL
1.25mg IM/IV/IO
or
METOCLOPRAMIDE
10mg slow IV bolus over
1-2 minutes or IM
or
PROCHLORPERAZINE
Up to 10mg IV/M/IO
No
Consider
Chest Pain(Non Traumatic) and
Suspected Acute Coronary Syndrome
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Consider
Pain Management
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Continue General Adult Assessment
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