M409

• Epinephrine 0.3ml 1:1000 IM if either hypotension or severe respiratory distress is present
• Albuterol (Proventil) 2.5mg in 2.5ml NS via HHN if wheezing or bronchospasm is present
• If hypotension infuse 1 liter NS IV WO rate.
• Benadryl 25-50mg IV/IM/PO; may be given without preceding Epinephrine in mild cases
• If hypotension persists, consider push dose epinephrine (5-20 mcg every 2-5 minutes; discontinue IM dosing)
• Persistent symptoms w/ known β blockers consider Glucagon IM/IV