Nausea and Vomiting (Adult)

Status

Actual or potential for nausea and vomiting

Assess for:
• Nausea and vomiting or • Potential motion sickness, planned aeromedical evacuation or vertigo • Spinal cord injury or eye trauma

Nausea and vomiting associated with: Cardiac chest pain Iatrogenic secondary to narcotic analgesia Previous diagnosed migraine Secondary to cytotoxic drugs or radiotherapy Severe gastroenteritis Metoclopramide 10mg IV/IM - Repeat Metoclopramide 10mg IV/IM, after 10 minutes if symptoms persist (max. 20mg) If known allergy or contraindication to Metoclopramide - Prochlorperazine 12.5mg IM     If dehydrated Manage as per Hypovolaemia CPG			Prophylaxis for: Potential for motion sickness Planned aeromedical evacuation Vertigo Prochlorperazine 12.5mg IM			Prophylaxis for: Awake Pt (GCS 13–15) with suspected spinal injuries who are immobilized on the stretcher Eye trauma - e.g. penetrating eye injury, hyphema Metoclopramide 10mg IV/IM - Repeat Metoclopramide 10mg IV/IM, after 10 minutes if symptoms persist (max. 20mg)

Special Notes

Prochlorperazine must only be administered via the IM route.

General Care

If there are no contraindications and the IV route is unobtainable with a long transport time, then administer Metoclopramide IM.

If nausea and vomiting tolerated, basic care and transport is the only required treatment.

Take care with Metoclopramide Polyamp as it is similar to Ipratropium Bromide and Atropine Polyamps in appearance.