Moderate to Severe Allergic Reaction

I CANT BREATHE (bcs of nuts)

Indications

• Exposure to probable Allergen

• Signs/Symptoms of a moderate to severe allergic rxn including analphyaxsis

Medications

• EPINEPHrine

• diphenhydrAMINE

EPINEPHrine Conditions

FOR ANAPLHYAXIS ONLY

DiphenhydrAMINE Conditions

= or > 25kg

EPINEPHrine Contraindications

Allergy or sensitivity to EPINEPHrine

DiphenhydrAMINE Contraindications

Allergy or Sensitivity to diphenhydrAMINE

EPINEPHrine Route + Concentration

• IM

• 1mg/mL = 1:1000

EPINEPHrine Dose

• 0.01mg/kg

• 0.5mg

EPINEPHrine Dosing Interval

5 min minimum

EPINEPHrine Max # of doses

2

DiphenhyrdrAMINE Route

From least invasive

• IV

• IM

DiphenhyrdrAMINE Dose (= or >25kg to 50kg)

• 25mg

• 25mg max

DiphenhyrdrAMINE Dose (= or > 50kg)

• 50mg

• Max 50mg

DiphenhyrdrAMINE Dosing Interval

N/A

DiphenhyrdrAMINE Max # of Doses

1

EPINEPHrine Clinical Considerations

EPINEPHrine administration takes priority over IV access