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    Anaphylaxis Flowchart

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    jerus2023

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    Anaphylaxis Flowchart

    Uploaded by

    jerus2023
    17 views1 page

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    17 views1 page

    Anaphylaxis Flowchart

    Uploaded by

    jerus2023

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Anaphylaxis1

    ANY ONE of the following could indicate anaphylaxis


    • Difficult/noisy breathing • Wheeze or persistent cough
    • Swelling of tongue • Persistent dizziness or collapse
    • Swelling/tightness in throat • Pale and floppy (young children)
    • Difficulty talking/hoarse voice • Vomiting and/or abdominal pain - for
    insect stings/bites
    • Any acute onset: hypotension, bronchospasm or upper airway obstruction, OR
    illness with skin features + respiratory/cardiovascular or persistent severe GI
    symptoms

    IMMEDIATE ACTION
    • Remove allergen if still present
    • Call for help
    • Lay patient flat - do not allow to stand

    Give intramuscular ADRENALINE (EPINEPHRINE) without delay


    Deep IM into outer mid-thigh
    Repeat 5 minutely as needed

    • CPR if needed

    When able Adrenaline (epinephrine) doses


    • Monitor HR, BP, RR, SpO2
    Age (years) Weight (kg) Adrenaline 1:1,000
    • Give O2
    <1 < 7.5
    • Support airway 0.1 mL
    1–2 10
    • IV access - adults + hypotensive children 2–3 15 0.15 mL
    4–6 20 0.2 mL
    If hypotensive 7–10 30 0.3 mL
    • Give IV sodium chloride 0.9% 10–12 40 0.4 mL
    20 mL/kg RAPIDLY > 12–adult > 50 0.5 mL

    Additional measures MO/NP may consider


    • Adrenaline (epinephrine) infusion - on advice of emergency medicine/critical care specialist
    • If upper airway obstruction - nebulised adrenaline (epinephrine) ± intubation/cricothyrotomy
    • If persistent hypotension/shock - sodium chloride 0.9% (max. 50 mL/kg in first 30 minutes)
    • If persistent wheeze - bronchodilators, prednisolone or hydrocortisone

    For detailed management, see Anaphylaxis, p. 82

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