Anaphylaxis – PED

P609

  • Remove exposure to allergen
  • For respiratory symptoms or hypotension, epinephrine 1:1000 IM 0.01 ml/kg (max 0.3 ml) AND give 20 ml/kg 0.9% NaCl IV (max 1 L)
  • May repeat epinephrine 1:1000 every 5 – 15 mins as needed
  • If bronchospasm or wheezing, give albuterol nebulizer tx 0.5 ml in 2.5 ml 0.9% NaCl
  • Medical control may order diphenhydramine 1 mg/kg IV/IM/PO (max 50 mg)
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