ABDOMINAL PAIN


A. Obtain and record telephone triage assessment that includes:

Description of Pain
Associated symptoms
known trauma nausea/vomiting/diarrhea
fever difficulty breathing
gravid history urinary symptoms (frequency, hematuria, burning)
poor appetite last bowel movement
chest pain change in activity level
difficulty walking possible ingestion of chemical, plants, meds, etc.
LNMP vaginal discharge or unusual bleeding
penile discharge scrotal swelling or pain

B. Risk Factors which increase the acuity abdominal pain:

C. See Immediately

Triage nurse should advise the use of an ambulance when the patient's current status is life threatening, may deteriorate enroute to hospital, or parental anxiety level is too high to safely drive child to closest ED

D. See Within 12 - 24 Hours:

E. Home Care Advice:

F. Call Back If:

(Briggs, 1997; Brown, 1994; Kitt et al, 1995; Schmitt, 1994; Simonsen, 1996 )


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