Pediatric Allergic Reaction
General Pediatric 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,
0.01 mg/kg IM;
max single dose 0.3 mg;
may repeat q 15 min
up to max 0.9 mg
ALBUTEROL
Assist patient with MDI
2.5 mg SVN; repeat as needed
DIPHENHYDRAMINE
1.0 mg/kg IM/IV
max 50 mg
DIPHENHYDRAMINE PO
Less than 6 years: 12.5mg PO
6 to 12 years: 25mg PO
>12 years: 50mg PO
Reassess patient q 5 min
Ventilation Management
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Cardiac Monitor
IV access
20 ml/kg NS bolus;
may repeat up to 60 ml/kg
DIPHENHYDRAMINE
1.0 mg/kg IM/IV
max 50 mg
DIPHENHYDRAMINE PO
Less than 6 years: 12.5mg PO
6 to 12 years: 25mg PO
>12 years: 50mg PO
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Assessment