Anaphylaxis/Allergic Reaction

Question 1

S/S

Answer 1

• Dyspnea/Hypoxia
• Wheezing/Stridor
• Difficulty Swallowing
• Oropharyngeal/Tongue Swelling
• Urticaria
• Abdominal Pain/Vomiting
• Shock/decreased perfusion

Question 2

A non-anaphylactic allergic reaction is defined as ONE of the following..

Answer 2

• Localized Symptoms
• Localized Angioedema w/out Airway or GI symptoms
• Urticaria alone

Question 3

Anaphylaxis is defined as..

Answer 3

Severe, acute onset & one of the following:
- Respiratory Compromise (dyspnea, wheeze, stridor, hypoxemia)
- Decreased BP (SBP<90)
OR
A combination of 2 of the following:
- Urticaria
- Swollen tongue or lips
- Nausea/Vomiting
- Abdominal pain
- Syncope
- Incontinence

Question 4

If Localized Allergic Reaction..

Answer 4

Diphenhydramine 1 mg/kg
IV/IM (50 mg MAX dose)

Question 5

If Anaphylaxis/Multisystem Reaction/Shock..

Answer 5

• 1:1 IM Epi 0.01mg/kg (0.3 MAX dose)
  *May Repeat q 5-15 min
• Cardiac Monitor & EtCO2
• Consider Airway Management
• Assess for signs of Shock (poor perfusion, decreased mental status)
• Breathing TX
• IV Access
• Fluid Bolus 20mL/kg (Hypotension)
• Diphenhydramine 1 mg/kg IV/IM (50mg)
• Solumedrol 2mg/kg (125mg MAX)

Transport, even if symptoms Resolve