peadiatric anaphylaxis guideline

Question 1

what are the risk factors for refractory anaphylaxis or deterioriation?

Answer 1

expected clincal course- history of refractoru, ICU admissions
hypotensice
medication as precipertating cause
resp symptoms/distress
history of astham or multiple co-morbidities

no response to intal adrenaline

Question 2

what may be suggestive of adreanaline toxicity?

Answer 2

some imporivement in syproms and a nromal/elevated BP but develops nausea, vomiting, sjaking, tachycarsia or arythmias

Question 3

what is the reccomneded dose of adrenaline for children <10kg or 1 year old?

Answer 3

minimum of 100mc or 0.1 ml so no dose errors occur

Question 4

what is the anaphylaxis criteria?

Answer 4

two or more rash symptoms with or without a confirmed allergen
resp distress, abdominal symptoms, skin/mucosa symptoms, hypotenson
or isolated hypotention following known allergen or isolated resp distress frollowing known allergen

Question 5

what is the first line action for anaphylaxis?

Answer 5

adrenalin 10mcg/kg max 500mg IM
repeat at 5 minutes as required
request MICA if risk factors or no respone
Provide high flow O2

Question 6

what additonal therapies are avalible if there is airway odeam/stridor?

Answer 6

adrenalin 5mg nebulised
- consult Rch for repate doses and notify reciving hospital

Question 7

what adidional therapies are avalible for bronchospasm?

Answer 7

salbutamol
nebulised or pMDI

2-5 years
2.5mg nebulased or 2-6 doses pmdi

6-11 years 2.5-5mg nebulised or 4-12 doses pmdi

ipatropium bromide both 250mcg nebulsied

and dexamethasone oral 600mcg/kg oral