Anaphylaxis: Difference between revisions
From Guide to YKHC Medical Practices
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[[image:All Emergency RMT.png|750px]] | |||
[[media:pediatric critical care guide.pdf|Pediatric Critical Care Guide]] | |||
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For patients who present with wheezing/stridor, hives, lip or facial swelling, abnormal vitals, abdominal pain, vomiting, diarrhea | For patients who present with wheezing/stridor, hives, lip or facial swelling, abnormal vitals, abdominal pain, vomiting, diarrhea | ||
Revision as of 00:55, 31 August 2019
For patients who present with wheezing/stridor, hives, lip or facial swelling, abnormal vitals, abdominal pain, vomiting, diarrhea
Give epinephrine without delay!
- Adults and peds greater than 25kg give 0.3 mg IM
- Peds less than 25 kg give 0.15 mg IM
- See emergency meds section (link to this section)
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.
