Paediatric Anaphylaxis

Question 1

In paediatric anaphylaxis, what is the management?

Answer 1

1. MICA Request
2. Monitor cardiac rhythm
3. Adrenaline 10mcg/kg IM
   - Rpt at 5 min intervals until satisfactory or SE’s
4. High flow O2
5. Consider nebulised salbutamol for bronchospasm
6. Consider nebulised adrenaline for airway oedema
7. Do not allow pt to stand/walk

Question 2

Irrespective of symptom resolution in paediatric anaphylaxis, what is the Mx?

Answer 2

1. Transport
2. Reassess en route
3. Monitor for recurring symptoms

Question 3

What note is made about refusal of transport?

Answer 3

If a pt <18 y.o has had a possible anaphylactic reaction they must be transported to hospital.

Question 4

Is there a maximum dose of IM Adrenaline for paediatric anaphylaxis?

Answer 4

No. Continue to repeat initial dose until satisfactory or side effects occur.