Page 268 - ATP-P 11th Ed

NAUSEA AND VOMITING PROTOCOL

SPECIAL CONSIDERATIONS
1. Avoid rapid IV administration of promethazine (Phenergan )
®
2. DO NOT give subcutaneous promethazine (Phenergan )
®
®
®
3. Diphenhydramine (Benadryl ) and promethazine (Phenergan ) may cause
drowsiness
SECTION 2 Signs and Symptoms
1. Nausea and Vomiting
Management
1. Ondansetron (Zofran ) 4–8mg IV/IM bid or 8mg PO q8hr prn
®
2. OR promethazine (Phenergan ) 25mg IV/IM/PO q6hr prn
®
3. OR diphenhydramine (Benadryl ) 25–50mg IV/IM/PO q6hr prn (may be useful
®
for vertigo or motion sickness)
4. Treat per Dehydration Protocol.

Disposition
Evacuate per Protocol for underlying condition.

258 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 259