Anaphylaxis

Question 1

what is the first drug that should be given in a patient with anaphylaxis

Answer 1

adrenaline IM

Question 2

what dose of adrenaline in adults

Answer 2

1:1000 adrenaline 500mcg IM (0.5ml)

Question 3

what dose of adrenaline in children over 12

Answer 3

1:1000 adrenaline 500mcg IM (0.5ml)

Question 4

what dose of adrenaline in children aged 6-12

Answer 4

1:1000 adrenaline 
300mcg IM (0.3ml)

Question 5

what dose of adrenaline in children aged less than 6

Answer 5

1:1000 adrenaline
150mcg IM (0.15ml)

Question 6

what should be done after adrenaline is given

Answer 6

IV fluid challenge
adult - 500-1000ml

child - crystalloid 20ml/kg

Question 7

what prescribed fluid could be the cause of anaphylaxis

Answer 7

colloid

Question 8

what should be given after the IV fluid challeng e

Answer 8

IM or slow IV chlorphenamine

Question 9

what is the dose of chlorphenamine in adults or children over 12

Answer 9

10mg

Question 10

what is the dose of chlorphenamine in children aged 6-12 years

Answer 10

5mg

Question 11

what is the dose of chlorphenamine in children aged 6mths-6years

Answer 11

2.5mg

Question 12

what is the dose of chlorphenamine in children less than 6mths old

Answer 12

250mcg/kg

Question 13

what should be given after chlorphenamine

Answer 13

hydrocortisone IM or slow IV

Question 14

what is the dose of hydrocortisone in adults or children over 12

Answer 14

200mg

Question 15

what is the dose of hydrocortisone in children aged 6-12

Answer 15

100mg

Question 16

what is the dose of hydrocortisone in children 6mths-6years

Answer 16

50mg

Question 17

what is the dose of hydrocortisone in children less than 6mths old

Answer 17

25mg

Question 18

how often can the doses of adrenaline be repeated

Answer 18

several times if necessary at 5 minute intervals

Question 19

where should an epipen be delivered

Answer 19

anterolateral aspect of middle third of thigh

Question 20

patients who have had an anaphylactic reaction are given what

Answer 20

2 adrenaline autojectors epipens

Question 21

when pts are given epipens what should they be todl

Answer 21

how to administer

get them to check expiry and obtain replacements before they expire

Question 22

what are the main cautions of adrenaline

Answer 22

heart disease diabetes

Question 23

what are the two strengths of adrenaline

Answer 23

1: 1000
1: 10000

Question 24

if a patient has to use an epipen at home what should they be adivsed to do

Answer 24

call an ambulance even if symptoms improve
lie down with legs raised
shouldnt be left alone