Zofran for Kids

2.20 NAUSEA / VOMITING

CRITERIA

Patient with uncontrolled nausea/vomiting and no evidence of head injury:

1. Attempt to treat cause of the nausea.

EMT STOP

2. If nausea unrelieved by other interventions:

Ondansetron (Zofran) 4 mg IV/IO/IM.

Ondansetron (Zofran) 2 mg IV/IO/IM if age >2 years

OR

Promethazine (Phenergan) 6.25-12.5 mg IV/IO diluted in 50-100 mL NS and given over 10 minutes.

NOTE

Do not give Promethazine if age >65, and use with caution in older adults and with other

potentially sedating medications (e.g. morphine).

3. If dystonic reaction after Promethazine administration (torticollis/stiff neck, back spasm, agitation) occurs,

give: Diphenhydramine (Benadryl) 25 mg IM/IV (May repeat once).