Anaphylaxis

Anaphylaxis
[ ] Epinephrine 0.3 mg IM
- 0.3-0.5 mL 1:1000 IM q15min
- 0.5-1 mL 1:10,000 IV; slow push; repeat prn
[ ] pt on Beta Blockers? add Glucagon 1-10 mg IV/IM; typically 1-2 mg q5min to effect
- or 1 mg IVP f/b gtt at 2 mg/hr
[ ] no angioedema hx? not on ACEIs?
[ ] IVF bolus
[ ] Albuterol neb
[ ] Benadryl 25-50 mg IV
[ ] Cimetidine (Tagamet) 300 mg IV or Famotidine (Pepcid) 20 mg IV or Ranitidine (Zantac) 150 mg PO
[ ] Solumedrol 125 mg IV
[ ] d/c on 2-5 days Benadryl, H2 blocker (Cimetidine, Famotdine or Ranitidine) and Prednisone, + epi pen

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