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Abuse, Sexual, Suspected — Emergency Contraception — Clinical Pathway: Emergency Department

Sexual Abuse Clinical Pathway — Emergency Department

Emergency Contraception

HCG Ensure negative HCG prior to administration
Indications Possible unprotected intercourse within preceding 120 hrs
Levonorgestrel, Plan B
  • Weight < 75 kg or BMI < 25 and within 3 days (72 hrs) of intercourse
  • Single dose of 1.5 mg
Ulipristal, Ella
  • Weight ≥ 75 kg or BMI ≥ 25 or within 3-5 days (72-120 hrs) of intercourse
  • Single dose of 30 mg
Side Effects
  • Nausea, vomiting, precipitous menses
  • Provide ondansetron in ED, prescription at discharge
Education
  • Provide verbal and written information
  • Use SART Discharge Order Set

 

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