Moderate to Severe Allergic Reaction MD

Question 1

What are the indications for the Moderate to Severe Allergic Reaction MD?

Answer 1

Exposure to a probable allergen;
AND
Signs and/or symptoms of a moderate to severe allergic reaction (including anaphylaxis).

Question 2

What are the conditions for administering epinephrine under the Moderate to Severe Allergic Reaction MD?

Answer 2

Other: For anaphylaxis only.

Question 3

What are the conditions for administering diphenhydramine under the Moderate to Severe Allergic Reaction MD?

Answer 3

Weight ≥25 kg

Question 4

What is the contraindication for administering epinephrine under the Moderate to Severe Allergic Reaction MD?

Answer 4

Allergy or sensitivity to epinephrine.

Question 5

What is the contraindication for administering diphenhydramine under the Moderate to Severe Allergic Reaction MD?

Answer 5

Allergy or sensitivity to diphenhydramine.

Question 6

What is the dose for epi under the moderate to sever allergic reaction MD?

Answer 6

IM
Concentration: 1 mg/mL = 1:1000
Dose: 0.01 mg/kg (The epinephrine dose may be rounded to the nearest 0.05 mg)
Max 0.5 mg
Dosing interval of a minimum 5 minutes
Max 2 doses.

Question 7

What is the dose of diphenhydramine for ≥25 kg to <50 kg?

Answer 7

IV/IM
Dose: 25 mg
No dosing interval, 1 dose max.

Question 8

What is the dose of diphenhydramine for patients who are ≥50 kg?

Answer 8

IV/IM
50 mg
No dosing interval, max 1 dose.

Question 9

What are the clinical considerations for the moderate to severe allergic reaction MD?

Answer 9

• Epinephrine administration takes priority over IV access.
• IV administration of diphenhydramine applies only to PCPs authorized for PCP Autonomous IV.