Pediatric allergies and anaphylaxis Flashcards
What is the Epinephrine dose for pediatric patients under and over 30 pounds?
Under 30 pounds: .15 mg of 1:1000 concentration.
Over 30 pounds: .3 mg of 1:1000 concentration.
What are some adverse effects of Epinephrine?
Chest pain
Anxiety
Headache
Palpitations
When should albuterol administration Be withheld in respiratory distress patients?
Four heart rates greater than 150 bpm
How should hypotension be treated?
With aggressive fluid intervention at 20 mL per kilogram PRN.
How often can IM Epinephrine doses be repeated?
Once after 10 minutes
What is the epinephrine infusion for persistent hypotension or severe refractory signs and symptoms?
.05–1 µg per kilogram per minute and titrate to affect using IV pump.
Mix 1 mg of epinephrine in 250 mL of saline.
What are the anti-histamine medication’s for anaphylaxis? What are the doses? And how often can they be repeated?
Benadryl: 1 – 2 mg per kilogram: max of 25 mg. 25 mg oral dose may also be administered if available for mild cases.
Pepsid: .5 mg per kilogram slow administration every 12 hours. Maybe used in conjunction with Benadryl.
This may be diluted to 100 mL or 250 mL and administered over 15 minutes.
Oral dose of 20 mg may be administered if available for mild cases.
How long after administration of inhale the beta agonist should the patient be observed for?
One hour.
What level of care is required for Epinephrine administration?
ALS care is required, and strong encouragement for transport is encouraged. Refusal of transport is only allowed after contact with medical control.
Can Pepcid be administered in routes other than IV/IO? Should ever be given alone?
No. And no. It should always be administered in conjunction with Benadryl. H2 agonists are necessary because Benadryl is not an H2 agonist.
Which individuals are at greater risk for deadly anaphylactic reactions?
Patients with asthma, eczema, or previous allergic reaction.
