Immunology

Question 1

Which one of the following treatments is correct in the management of anaphylaxis?

a) Adrenaline 0.01 mg/kg SC
b) Adrenaline 0.5mg IM in an adult Q30 mins
c) Adrenaline infusion 0.1 - 10 micrograms/min IV
d) Diphenhydramine 2mg/kg up to 100mg IV/IM
e) Ranitidine 2mg/kg up to 100mg PO/IV

Answer 1

C.

Adrenaline is dosed 0.01 mg/kg up to 0.5mg q5-15 min. An infusion is at 0.1 - 10 micrograms/minute IV.

Diphenhydramine and ranitidine are dosed at 1 mg/kg up to 50mg.

Steroids are also given, methylprednisolone and prednisolone are 1 mg/kg and hydrocortisone is 1.5 mg/kg.