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Ondansetron - 2008

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  1. Ondansetron - 2008 Southeastern Massachusetts EMS Council

  2. Antiemesis • Protocol applies to EMT-CC and EMT-P • Indications: • For the prevention and treatment of nausea and vomiting • Contraindications: • Know hypersensitivity to medication

  3. Antiemesis • Protocol uses Ondansetron (Zofran) as the Antiemetic • Agencies may use either the generic or brand name version of this medication

  4. Ondansetron (Zofran) • Indications: • Nausea and vomiting • Contraindications: • Known hypersensitivity to this, or other, antiemetic medications (Anzemet, Kytril, Aloxi)

  5. Ondansetron (Zofran) • Side Effects: • blurred vision or temporary blindness; • fever; • slow heart rate, trouble breathing; • anxiety, agitation, shivering; • feeling light-headed, fainting; or • urinating less than usual or not at all

  6. Ondansetron (Zofran) • Side Effects (continued): • diarrhea or constipation; • weakness or tired feeling; • headache; • dizziness or drowsiness;

  7. Ondansetron (Zofran) • Use Zofran with caution in patients taking the following medications: • phenytoin (Dilantin), phenobarbital (Luminal); • carbamazepine (Carbatrol, Tegretol); • tramadol (Ultram); or • rifampin (Rifadin, Rimactane, Rifater)

  8. Steps: Routine Medical/Trauma Care Ondansetron (Zofran) up to 4mg IV per Medical Control Order Antiemesis

  9. Fentanyl Is Used in What Protocols? • 3.14 Adult Pain And Nausea Management • Medical Control Option • 5.13 Pediatric Pain And Nausea Management • Medical Control Option