Nausea & Vomiting Exclusion

Adult ER

Urine Ketone and/or increase BG with s/s of dehydration

Adult PCP

Suspected of food poisoning did not resolved in 24 hrs

Adult ER

severe abdominal pain in middle and ULQ

Adult PCP

N/V fever and/or diarrhea

Adult ER

Severe RUQ pain, after eating fatty food

Adult PCP

vomiting with blood

Adult ER

Yellow skin, dark urine, eye discoloration

Adult ER

Stiff neck w/ or w/o headache + photosensitivity

Adult PCP

Head injury w/ n/v, blurry vision. Numbness and tinging

Adult PCP

Person with glaucoma, BPH, chronic bronchitis, emphysema, asthma

Adult PCP

Pregnancy (severe symptom) + breastfeeding

Adult PCP

N/V cause by chemo, radiation, serious metabolic, CNS, GI or endocrine disorder

Adult PCP

Drug-induced N/V (opioids, NSAIDS, antibiotic, estrogen, digoxin, theophylline, lithium, ethanol)

Adult PCP

Psychogenic - induced NV: bulimia, anorexia

Adult PCP

Chronic disease - induced n/v: gastroparesis, with diabeties, DKA or HHS with diabetes, GERD

Child ER

s/s of dehydration

Child ER

caregiver unwilling to manage child’s at home

Child ER

Stiff neck

Child ER

< 6 months, or less than 17.6lbs, vomit clear fluid x3

Child ER

Refusal to drinks fluids with n/vc

Child ER

Lack of urination in the past 8-12hr

Child ER

Child appears lethargic, sleepy, restless/crying

Child ER

Vomit contain red, black or green fluids

Child PCP

Repeat vomiting or projectile/ continue for 8+ hrs 

Child ER

Vomiting occurs following head injury

Child ER

Vomiting is associated w/ diarrhea + abs distension

Child ER

Suspect poisoning

Child ER

Vomiting occurs with recurrent

Child PCP

Child with high risk for complication (diabetes, CNS, hernia)