Allergic Reaction Anaphylactic Shock

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Section 5 -MEDICAL

5.02 ALLERGIC REACTION / ANAPHYLACTIC SHOCK

INITIAL MEDICAL CARE (2.01) - Provide OXYGEN or assist ventilations as appropriate for patient condition.

  • Establish IV or administer medications into extremity without bite or injection of allergen.
  • Administer medications into areas without hives (urticaria)

ALLERGIC REACTION:

  • If wheezing present:
  • If hives (urticaria) with history of systemic reaction in past: (All age ranges)
  • For pediatric patients presenting with a mild or localized allergic skin reaction (urticaria) with no respiratory involvement:
    • DIPHENHYDRAMINE (BENADRYL) oral liquid or dissolving tablet
      • For patients 2-6 year old – 6.25 mg PO
      • For Patients 6-11 year old – 12.5 mg PO
      • For Patients 12 and over – 25 mg PO
  • If mild/ moderate reaction:
  • Moderate Reaction:
  • Cardiac Arrest or Cardiopulmonary Arrest Imminent:
    • EPINEPHRINE 1:10,000 0.3mg IVP (instead of 1:1,000)
    • Consider all appropriate therapeutic and/or pharmacologic modalities to correct the condition.


ANAPHYLACTIC SHOCK: