Allergic Reaction
General Adult Assessment
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No
Evidence of airway
involvement/breathing
difficulties?
Yes
Vascular Access
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EPINEPHRINE
Assist patient with
own auto-injector
Epinephrine
1:1000, 0.5 mg IM;
may repeat q 15 min
up to max 1.5 mg
DIPHENHYDRAMINE
50 mg IM/IV/IO/PO
Reassess patient q 5 min
Patient in shock?
Yes
Ventilation Management
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ALBUTEROL
2.5 mg SVN;
repeat as needed
No
ALBUTEROL
Assist patient with MDI
2.5 mg SVN; repeat as needed
Ventilation Management
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Cardiac Monitor
IV access
500 cc NS bolus;
may repeat up to 2L
Cardiac Monitor
IV access
500 cc NS bolus;
may repeat up to 2L
DIPHENHYDRAMINE
50 mg IM/IV/IO/PO
DIPHENHYDRAMINE
50 mg IM/IV/IO/PO
PUSH DOSE EPINEPHRINE
1:10,000
5.0 mcg - 10.0 mcg IV,
may repeat q 2-5 min
to maintaion SBP>90
(0.5 ml-1.0 ml of 1:10,000
Solution)
To Prepare: Mix Cardiac
Epinephrine 1:10,000 1ml
PLUS 9 ml Normal Saline =
10 ml Epinephrine
1:10,000 at 10 mcg/ml
Consider
DOPAMINE
5-20 mcg/kg/min,
titrate to SBP>90
☎
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