Vomiting and Diarrhea — Pediatric Algorithm

What glucose test is done in pediatric vomiting/diarrhea?

Blood Glucose Analysis Procedure.

What blood glucose values send a vomiting child to the Pediatric Diabetic Protocol?

70 mg/dL or less, or 400 mg/dL or greater.

When is the Pediatric Airway Protocol used in vomiting/diarrhea?

If indicated.

What findings count as serious signs in pediatric vomiting/diarrhea?

Hypotension, poor perfusion, or shock.

What vascular access is done for serious signs in pediatric vomiting/diarrhea?

IV/IO Procedure.

What is the dose of normal saline bolus for pediatric vomiting/diarrhea?

20 mL/kg.

When can the normal saline bolus be repeated in pediatric vomiting/diarrhea?

As needed if lungs are clear.

What is the normal saline bolus titrated to in pediatric vomiting/diarrhea?

Above age-based hypotension.

What is the max dose of normal saline in pediatric vomiting/diarrhea?

60 mL/kg.

What protocol do you exit to if BP is not improving in pediatric vomiting/diarrhea?

Pediatric Hypotension / Shock Protocol.

What protocol is used when signs, symptoms, or ECG suggest a cardiac cause in pediatric vomiting/diarrhea?

Appropriate pediatric cardiac protocol.

What monitoring is applied in pediatric vomiting/diarrhea?

Cardiac monitor.

What temperature prompts consideration of the Fever/Sepsis protocol in vomiting/diarrhea?

Over 100.4°F.

What age must a child be over for IV/IO/IM ondansetron?

Over 3 months old.

What is the dose of ondansetron IV/IO/IM for pediatric vomiting?

0.15 mg/kg.

How is weight-based ondansetron administered for pediatric vomiting?

IV/IO/IM.

What is the max dose of ondansetron IV/IO/IM for pediatric vomiting?

4 mg.

How often can IV/IO/IM ondansetron be repeated for pediatric vomiting?

Once in 15 minutes.

What age must a child be over for PO ondansetron?

Over 4 years old.

What is the dose of PO ondansetron for pediatric vomiting?

4 mg.

How often can PO ondansetron be repeated for pediatric vomiting?

Once after 15 minutes.

When is the IV procedure done for severe nausea in pediatric vomiting/diarrhea?

If indicated.

When is the cardiac monitor applied for severe nausea in pediatric vomiting/diarrhea?

If indicated.

What protocol do you exit to for severe pain in pediatric vomiting/diarrhea?

Pediatric Pain Management Protocol.

What is the final step in pediatric vomiting/diarrhea?

Notify destination or contact medical control.