Emergencies

Question 1

what is the correct dose of IM adrenaline to give for anaphylaxis for adults & children > 12?

Answer 1

500 micrograms of 1:1000 adrenaline
(normally 1mg/ml so give 0.5ml) to anterolateral thigh

Question 2

what is the correct dose of IM adrenaline to give for anaphylaxis for children 6-12 yrs?

Answer 2

300 micrograms of 1:1000

Question 3

what is the correct dose of IM adrenaline to give for anaphylaxis for children 6 months - 6 years?

Answer 3

150 micrograms of 1:1000

Question 4

what is the correct dose of IM adrenaline to give for anaphylaxis for children < 6 months?

Answer 4

100 - 150 micrograms of 1:1000

Question 5

For how long after emergency treatment for suspected anaphylaxis should patients be monitored?

Answer 5

Adults / > 16 yrs = 6-12 hrs
if < 16 = should be admitted under the paediatric medical team

If possible should have blood taken for mast cell tryptase testing. 1st sample as soon as possible after emergency treatment has been given, then 2nd sample after 1-2 hours

Should then be offered an allergy referral and an Epipen in the interim