Anaphylaxis

From Guide to YKHC Medical Practices

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Pediatric Critical Care Guide


For patients who present with wheezing/stridor, hives, lip or facial swelling, abnormal vitals, abdominal pain, vomiting, diarrhea

Give epinephrine without delay!

Repeat Epinephrine q 5-15 minutes as needed ABCs and Nasal Cannula O2

Lay patient down with feet up

Activate Medevac

Give Diphenhydramine:

  • Adult =50mg po
  • Peds=1.25 mg/kg po (12.5mg/5mls)

Give Steroids

  • Adult= 60 mg prednisone
  • Peds=2mg/kg prednisone crushed tabs OR Dexamethasone IV solution 0.6 mg/kg IM or po

Establish an IV

Give IV fluid boluses (20mg/kg for peds and 1L for adults) as fast as possible.

Albuterol nebs as needed.


Emergency RMT Scenarios and Responses