Allergic Reaction Flashcards
Key tx for allergic reaction that presents with stable vitals with a rash, hives.
Remove stinger
-Benadryl 50 mg PO/IV/IM
What is one of the most critical components when differentiating between allergic reaction and anaphylaxis
*any involvement in respiratory (wheezing/stridor) or oral/facial edema should be treated as anaphylaxis.
Anaphylaxis ALS treatment
Epi 0.3mg 1:1000 IM
Benadryl 50mg IV/IM/IO
Albuterol 2.5mg (3ml) if wheezing present
Consider CPAP
Contact base for IV Epi - 0.1 mg1:10,000 IV push
In extreme anaphylaxis you may consider IV Epi
A) Epi dose and concentration
B) When to epi admin
Base Hospital Order Only
A)Epi 0.1 mg increments of 1:10,000 slow IV push, for stridor and hypotension until a SBP >90 or a total of 0.5mg given
Allergic Reaction Definition
A local response to an antigen involving the skin (rash, hives, edema, etc) with normal vital signs. Any involvement of the respiratory system (wheezing, stridor, or oral/facial edema will be treated as anaphylaxis. remember that allergic reactions may deteriorate into anaphylaxis reassess often and be you prepared to treat for anaphylaxis
Anaphylaxis definition
The systemic response to an antigen involving two or more organ systems or any involvement of the upper and/or lower respiratory systems or any derangement of vital signs
Allergic Reaction/Anaphylaxis - BLS
O2 SpO2>94%. Use lowest concentration
Airway adjunct as needed
Remove sting/injection mechanism
Transport and begin therapy simultaneously
Allergic reaction ALS
Diphenhydramine Benadryl
50 mg PO/IV or IM
Anaphylaxis BLS
Oxygen adjust just flow and delivery mode as needed
Airway adjunct as needed
Remove sting/injection mechanism
Assist patient in the use of patient prescribed medication including autoinjectors
Transport and begin therapy simultaneously
Anaphylaxis ALS
Establish large bore IV access with normal saline, titrate to a systolic blood pressure of 90 - 100 mmHG
Epinephrine 0.3 mg of 1:1000 IM
Diphenhydramine Benadryl 50 mg IV/IM or I/O
ECG and SPO2 monitoring
Albuterol 2.5 mg 3 mL unit does HHN for wheezing. Reassess after first treatment, may be repeated as needed based on reassessment
CONSIDER CPAP
BASE HOSPITAL ORDER ONLY:
0.1 mg increments of 1 to 10,000, slow IV push, for stridor and hypotension, until a systolic blood pressure greater than 90 him mmHG or a total of 0.5 mg is given
Allergic Reaction/Anaphylaxis - Can you repeat Diphenhydramine and epi IM?
Does not say in protocol- Would need base contact
Allergic Reaction/Anaphylaxis - Albuterol
Dose
When to use
How many times can you repeat
2.5mg
Wheezing
Repeat as needed
