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Medical

Pediatric VOMITING &

DIARRHEA
Signs and Symptoms: Differential Diagnosis:
• Pain • CNS Injury/Mass/Infection
• Abdominal Distention • Myocardial Infarction
• Constipation • Drugs/Toxins
• Diarrhea • Bowel Obstruction
• Anorexia • Diabetic Ketoacidosis
• Pregnancy
Associated Symptoms: • Infections
Fever, Headache, Weakness, Malaise, • Gastroenteritis
Myalgia, Cough, Dysuria, Mental • Food Borne/Toxic
Status Changes, Rash • Psychologic
• Appendicitis
Universal Patient Care Guideline
Continued from: O2 (if Hypoxemic)
Tactical Evacuation Guideline IV / IO Guideline
Cardiac Monitor
Evidence of Malnourishment?
NO YES YES Blood Glucose: <65?
Thiamine 100mg IV / IM
NO
r
Tachycardia/Hypotension? YES IVF 20mL/kg pprn n
25% Dextrose 2mL/kg IV NO
OR

Glucagon 0.5mg IM Nausea and/or Vomiting? Promethazine (If >2 years old)
0.25mg/kg/dose IV
(if NO IV access) YES (up to 12.5mg/dose)
YES NO OR
NO Glucose: >65? Ondansetron

YES Abdominal Pain? • <40kg: 0.1mg/kg IV
NO • >40kg: 4mg IV
Abdominal Pain Guideline
Reassess q5min
m
i
n
5
q
Consider When appropriate, return to:
Pediatric Pain Management Tactical Evacuation Guideline
Pearls:
• Suspicion of other underlying condition should prompt immediate referral to appropriate guideline.
• Continually monitor for any decompensation.

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