Anaphylaxis and Allergy (Paediatric)

Question 1

Protocol for a mild to moderate allergy in a child

Answer 1

Fexofenadine 180mg <12 years

Question 2

Protocol for upper airway angioedema in a Paediatric Anaphylaxis?

Answer 2

Nebulised adrenaline
- >6 months 5mg / 5mL
- <6 months 2.5mg / 2.5mL (made up to 5mL with saline

Question 3

Protocol for hypotension in a Paediatric Anaphylaxis?

Answer 3

Saline 10mL/kg aliquots (max 250mL) up to 30mL/kg
-aim for SBP lower end of normal range

Question 4

Protocol for Adrenaline in a Paediatric Anaphylaxis?

Answer 4

If 2-3 IM doses already given:
Syringe driver start at 0.5mcg/kg/min
- consult to adjust by 0.1mcg/kg/min
-max 2mcg/kg/min
OR
manual infusion start at 0.5mcg/kg/min
-1 drop/sec is 6mcg/min

Question 5

Protocol for a persistent wheeze in a Paediatric Anaphylaxis?

Answer 5

IV/IO/IM hydrocortisone 4mg/kg to max 250mg
OR
Oral Prednisolone 1mg/kg up to 50mg