Anaphylaxis

Question 1

How to manage anaphylaxis

Answer 1

Epinephrine
*children receive a smaller dose

Question 2

What is the clinical indication for diphenhydramine (Benadryl) and route

Answer 2

Adjunctive therapy IM or slow IV
*blocks H1

Question 3

What is the clinical indication for famotidine (pepcid) and route

Answer 3

1. Adjunctive therapy
   *works well for skin and GI symptoms of allergy
   *IV for 2 minutes

Question 4

What is the clinical indication for methylprednisolo (solu-medrol) route

Answer 4

Adjunctive therapy
*biphasic or recurrent reaction
*IV or oral

Question 5

What is the clinical indication for nebulized albuterol (duo-nebs) and route

Answer 5

For bronchospasm
*inhalation

Question 6

What is the clinical indication for normal saline and route

Answer 6

Hypotension or to keep vein open
*IV

Question 7

What is the clinical indication for oxygen and route

Answer 7

For hypoxemia or respiratory distress

Question 8

What is the clinical indication for glucagon and route

Answer 8

If the patient is on a beta-blocker and fails to respond to epinephrine
*IV