Moderate to Severe Allergic Reaction Medical Directive

Question 1

Moderate to Severe Allergic Reaction MD

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

Moderate to Severe Allergic Reaction MD

What are the conditions for Epi administration?

Answer 2

Other: For anaphylaxis only

Question 3

Moderate to Severe Allergic Reaction MD

What are the indications for diphenhydramine administration?

Answer 3

Weight: ≥25 kg

Question 4

Moderate to Severe Allergic Reaction MD

What are the contraindications to Epi administration?

Answer 4

Allergy or sensitivity to Epi.

Question 5

Moderate to Severe Allergic Reaction MD

What are the contraindications to diphenhydramine administration?

Answer 5

Allergy or sensitivity to diphenhydramine.

Question 6

Moderate to Severe Allergic Reaction MD

What is the dosing information for Epi?

Answer 6

Route: IM
Concentration: 1 mg/ml = 1:1000
Dose: 0.01 mg/kg
Max single dose: 0.5 mg
Dosing interval: minimum 5 min
Max # of doses: 2
Epi dose may be rounded to nearest 0.05 mg.

Question 7

Moderate to Severe Allergic Reaction MD

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

Answer 7

Route: IV/IM
Dose: 25 mg
Max # of doses: 1

Question 8

Moderate to Severe Allergic Reaction MD

What is the dose of diphenhydramine for pts weighing ≥50 kg?

Answer 8

Route: IV/IM
Dose: 50 mg
Max # of doses: 1