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Anti-Emetic Administration
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Protocol number: ALS-001
Description: Anti-emetic
administration
Date implemented: August 12, 2003
Last revision date: January 26,
2006
OMD: Dr. Charles Lane
Page 1 of 2
Reviewed Date/By:
RATIONALE
Nausea and vomiting are common complaints for not only the initial
EMS request, but also as a result of motion created by the emergency
vehicle during transport. Vomiting in the Pre-Hospital setting
can lead to many complications, such as airway compromise or
aspiration. It is responsive to drug therapy.
DRUG
Promethazine Hydrochloride
(Phenergan™) is a very effective anti-emetic that can
safely be administered pre-hospital. Drug class is
Phenothiazine. It is an antihistamine (H1 receptor
antagonist) that has the following actions: mild anticholinergic
activity, antiemetic, potentiation of analgesics. Onset is rapid
with IV administration and duration of effect is for 4-6 hours.
INDICATIONS
*ONLINE-
Vomiting and/or significant nausea
Motion Sickness
Medication side effect (e.g. opiate analgesic)
*Must receive
Online Medical Direction approval prior to administration of
anti-emetic.
CONTRAINDICATIONS
POSSIBLE COMPLICATIONS
INTERACTIONS
Caution with MAO Inhibitors, CNS depressants, Anticholinergics,
Alcohol.
ROUTE
IV, IM (deep)
HOW SUPPLIED
25mg/mL
ADULT DOSAGE
6.25 mg, 12.5mg, 25mg
PEDIATRIC DOSAGE
0.25 mg/kg IV, rarely given
EQUIPMENT
Promethazine Hydrochloride
(Phenergan™) injectable solution
Patent and well flowing IV access
Sterile injectable saline solution
PREPARATION/ADMIISTRATION
1)
Draw up calculated dose of Phenergan in syringe.
2)
Dilute in 3 - 5 cc of sterile saline solution.
Administer over 1 minute thru a well
flowing IV line. |
