Anaphylaxis Algorithm

Question 1

After ABCDE approach, what is the first step for treating anaphylaxis

Answer 1

ADRENALINE

Question 2

What is the dose concentration of adrenaline

Answer 2

1:1000

in 1 ml there is 1000mcg i.e. 1mg

Question 3

In terms of age, what doses of IM adrenaline are given

Answer 3

Adults: 500micrograms

Child >12 yr: 500 micrograms

Child 6-12 yr: 300 micrograms

Child <6yr: 150 micrograms

Question 4

How much IV fluids should be given to an adult

Answer 4

500-1000ml bolus

Question 5

What other 2 drugs apart from adrenaline are very important in anaphylaxis managment

Answer 5

Chlorphrenamine 10mg IM or slow IV

Hydrocortisone 200mg IM or slow IV