Allergic Reaction (Pediatric)

Question 1

Allergic Reaction (Pediatric):

What major indication differentiates an allergic reaction from an anaphylactic reaction?

Answer 1

Presence of wheezing, stridor, swelling of

the airway or signs of hypoperfusion.

Question 2

Allergic Reaction (Pediatric):

Is the EMT-B able to assist a patient, suffering from an allergic reaction, with the administration of OTC diphenhydramine?

Answer 2

Yes, according to the manufacturer’s recommendation for the patient’s age or weight, or according to prescription label instructions.

Question 3

Allergic Reaction (Pediatric):

What is the pediatric dose of diphenhydramine (Benadryl)?

Answer 3

1 mg/kg, up to 50 mg IM/IV

Question 4

Allergic Reaction (Pediatric):

What physical indications are indicative of an allergic reaction, inconsistent with anaphylaxis?

Answer 4

Presence of erythema, urticaria, rash, and/or pruritus alone WITHOUT wheezing, stridor, swelling of
the airway or signs of hypoperfusion.

Question 5

Allergic Reaction (Pediatric):

Which of the following indicates skin redness?

1. Erythema
2. Urticaria
3. Rash
4. Pruritus

Answer 5

1. Erythema

Question 6

Allergic Reaction (Pediatric):

Which of the following indicates itching (of the skin)

1. Erythema
2. Urticaria
3. Rash
4. Pruritus

Answer 6

4. Pruritus

Question 7

Allergic Reaction (Pediatric):

Which of the following indicates hives?

1. Erythema
2. Urticaria
3. Rash
4. Pruritus

Answer 7

2. Urticaria