Anaphylaxis Flashcards
what is the first drug that should be given in a patient with anaphylaxis
adrenaline IM
what dose of adrenaline in adults
1:1000 adrenaline 500mcg IM (0.5ml)
what dose of adrenaline in children over 12
1:1000 adrenaline 500mcg IM (0.5ml)
what dose of adrenaline in children aged 6-12
1:1000 adrenaline 300mcg IM (0.3ml)
what dose of adrenaline in children aged less than 6
1:1000 adrenaline 150mcg IM (0.15ml)
what should be done after adrenaline is given
IV fluid challenge
adult - 500-1000ml
child - crystalloid 20ml/kg
what prescribed fluid could be the cause of anaphylaxis
colloid
what should be given after the IV fluid challeng e
IM or slow IV chlorphenamine
what is the dose of chlorphenamine in adults or children over 12
10mg
what is the dose of chlorphenamine in children aged 6-12 years
5mg
what is the dose of chlorphenamine in children aged 6mths-6years
2.5mg
what is the dose of chlorphenamine in children less than 6mths old
250mcg/kg
what should be given after chlorphenamine
hydrocortisone IM or slow IV
what is the dose of hydrocortisone in adults or children over 12
200mg
what is the dose of hydrocortisone in children aged 6-12
100mg
what is the dose of hydrocortisone in children 6mths-6years
50mg
what is the dose of hydrocortisone in children less than 6mths old
25mg
how often can the doses of adrenaline be repeated
several times if necessary at 5 minute intervals
where should an epipen be delivered
anterolateral aspect of middle third of thigh
patients who have had an anaphylactic reaction are given what
2 adrenaline autojectors epipens
when pts are given epipens what should they be todl
how to administer
get them to check expiry and obtain replacements before they expire
what are the main cautions of adrenaline
heart disease diabetes
what are the two strengths of adrenaline
1: 1000
1: 10000
if a patient has to use an epipen at home what should they be adivsed to do
call an ambulance even if symptoms improve
lie down with legs raised
shouldnt be left alone
