ALS PCS: Moderate To Severe Allergic Reaction Medical Directive

Question 1

INDICATIONS

Answer 1

EXPOSURE TO A PROBABLE ALLERGEN

AND

S/S OF A MODERATE TO SEVERE ALLERGIC REACTION, INCLUDING ANAPHYLAXIS

Question 2

CONDITIONS (EPINEPHRINE)

Answer 2

FOR ANAPHYLAXIS ONLY

Question 3

CONDITIONS (DIPHENHYDRAMINE)

Answer 3

WEIGHT ≥ 25kg

Question 4

CONTRAINDICATION (EPINEPHRINE)

Answer 4

ALLERGY OR SENSITIVITY TO EPINEPHRINE

Question 5

CONTRAINDICATION (DIPHENHYDRAMINE)

Answer 5

ALLERGY OR SENSITIVITY TO DIPHENHYDRAMINE

Question 6

TREATMENT (EPINEPHRINE)

Answer 6

ROUTE: IM

CONCENTRATION: 1mg/mL = 1:1000

DOSE: 0.01mg/kg

MAX SINGLE DOSE: 0.5mg

DOSING INTERVAL: 5mins

MAX # OF DOSES: 2

Question 7

TREATMENT (DIPHENHYDRAMINE)

25kg ≤ WEIGHT < 50kg

Answer 7

ROUTE: IV / IM

DOSE: 25mg

MAX SINGLE DOSE: 25mg

DOSING INTERVAL: N/A

MAX # OF DOSES: 1

Question 8

TREATMENT (DIPHENHYDRAMINE)

WEIGHT ≥ 50kg

Answer 8

ROUTE: IV / IM

DOSE: 50mg

MAX SINGLE DOSE: 50mg

DOSING INTERVAL: N/A

MAX # OF DOSES: 1

Question 9

CLINICAL CONSIDERATIONS

Answer 9

EPINEPHRINE ADMINISTRATION TAKES PRIORITY OVER IV ACCESS

IV ADMINISTRATION OF DIPHENHYDRAMINE APPLIES ONLY TO PCPs AUTHORIZED FOR PCP AUTONOMOUS IV.