Mfrdmanager: Protected "Suspected Kidney Stone" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T16:37:10Z

Protected "Suspected Kidney Stone" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Section 5 -MEDICAL== ===5.18 SUSPECTED KIDNEY STONE=== INITIAL MEDICAL CARE (2.01) - Provide OXYGEN or assist vent..."

2018-02-10T16:37:02Z

Created page with "==Section 5 -MEDICAL== ===5.18 SUSPECTED KIDNEY STONE=== INITIAL MEDICAL CARE (2.01) - Provide OXYGEN or assist vent..."

New page

==Section 5 -MEDICAL==
===5.18 SUSPECTED KIDNEY STONE===

[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01) - Provide [[Medical Gases|OXYGEN]] or assist ventilations as appropriate for patient condition. Use vomiting precautions.
* If age >50, consider Abdominal Aortic Aneurysm etiology
* If hypotension / shock are present, refer to [[Shock|SHOCK PRACTICE PARAMETER]] (5.13).
* For patients with severe vomiting, obtain detailed history, and then administer [[Antiemetics|ZOFRAN (ONDANSETRON HYDROCHLORIDE)]]:
** Adult: 4mg slow IVP. (Consider diluting in 10-20cc to aid in administering slowly) or 4mg/2ml deep IM in a large muscle.
** Pediatric : Refer to Handtevy System
*Obtain detailed history as to hydration status:
** Dry mucous membranes, tongue
** Sunken eyes
** Urine output
** Multiple episodes of vomiting or diarrhea

'''''If PROPERLY hydrated and no suspected dehydration, consider administration of: [[Antipyretic / Anti Inflammatory|TORADOL (KETOLORAC)]] 30mg slow IVP'''''

'''''For Pain Management: Refer to [[Analgesia and Sedation|ANALGESIA/SEDATION PRACTICE PARAMETERS]] (2.04) [[Analgesics|MORPHINE]] 2-20 mg (IV,IO, IN, IM), titrated to effect'''''

If patient presents with:
* Possible dehydration
* History of renal impairment
* Current renal impairment

Fluid Bolus, 200-300cc NS followed by [[Antipyretic / Anti Inflammatory|TORADOL (KETOROLAC)]] 15mg slow IVP. Administer nothing by mouth.

[[Category:Medical|0518]]

← Older revision	Revision as of 16:37, 10 February 2018
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Suspected Kidney Stone - Revision history

Mfrdmanager: Protected "Suspected Kidney Stone" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Section 5 -MEDICAL== ===5.18 SUSPECTED KIDNEY STONE=== INITIAL MEDICAL CARE (2.01) - Provide OXYGEN or assist vent..."