Anaphylaxis (1*)

Question 1

What are the life-threatening signs to look out for?

What is the critical part of its management?

What does the general management involve?

Answer 1

➊ • Airway - Hoarse voice, stridor
• Breathing - Increased WOB, wheeze, fatigue, cyanosis, SpO2 < 94%
• Circulation - Hypotension, tachycardia, confusion, reduced consciousness

➋ IM Adrenaline (1:1000)

➌ • Remove trigger if possible
• Lie pt flat (+/- legs elevated)
• Call for help early

Question 2

What should be done first?

Once the equipment is available, what should be done?

If no response after this, what should be done?

Answer 2

➊ Give IM Adrenaline

➋ • Establish airway
• Give HF O2
• Monitor - Pulse ox, ECG, BP

➌ • Repeat IM Adrenaline after 5 mins
• IV Fluid bolus

Question 3

Adrenaline doses:
What are different doses depending on age?

Answer 3

• Child < 6 months - 100-150 mcg
• Child 6 months-6yrs - 150 mcg
• Child 6-12 yrs - 300 mcg
• Adult and child > 12 yrs - 500 mcg