A. Simple Nausea without Vomiting

1. Assess general condition
2. Avoid irritating diet, ASA, spicy foods, hot sauce, and cold drinks.
3. Encourage appropriate fluids.
4. Maalox 10-15cc may be used as directed.

B. Vomiting

1. Assess possible cause, general associated symptoms, and temperature.
2. Observe amount, quantity, and duration.
3. Keep NPO, x2 hours, then give clear fluids and advance, as tolerated.
4. If vomiting persists, or if there is evidence of abdominal pain, fever, headache, dehydration, or diarrhea, notify physician.

C. Abdominal Pain

1. Assess for location, intensity, duration of discomfort, and any additional symptoms such as painful urination, flank pain, cough, or sore throat.
2. Take vital signs.
3. Palpate for tenderness or rigidity; listen for bowel sounds
4. Ascertain B.M. status and, if appropriate, date of LMP.
5. Obtain and process urine specimen (urine dip, culture) if urinary frequency or discomfort is noted.
6. Notify physician of prolonged pain, rebound tenderness, fever, abnormal U/A or any other concerning symptoms.
7. Ibuprofen may be used, as directed, for menstrual discomfort.

D. Constipation

1. Assess bowel status and bowel sounds; review medication regime.
2. Take temperature.

3. If no bowel movement in 48 hours, administer M.O.M. 15 to 30 cc .
4. If no results are evidenced in 10-12 hours repeat dose Notify the Physician if MOM not beneficial for fiber supplement or stool softener.
5. Increase fluids .
6. Encourage a high fiber diet (limit bananas).

E. Diarrhea

1. Assess frequency and quantity, of B.M.
2. Review medication regime and food intake in the last 24 hours.
3. Take temperature.
4. Encourage a bland, binding diet with adequate fluid intake x24 hours and advance as tolerated.
5. If symptoms persist or if there is any evidence of fever, tiny firm stools, or stools with frank blood or mucous, report to Physician immediately. Explosive diarrhea [9-10 episodes in 3-4 hours] should be reported immediately.