Anaphylaxis

Question 1

Anaphylaxis

Presentation

Answer 1

• Itchy rash/throat
• Tongue swelling
• Shortness of breath
• Low BP
• Nausea and vomiting

Question 2

Anaphylaxis

Management

Answer 2

1. A→E assessment and initial resuscitation
2. Adrenaline 1:1000 0.5ml IM. Can be repeated after 5 minutes if no response
3. Chlorphenamine IV
4. Hydrocortisone IV
5. Closely monitor patient and repeat A→E assessment as needed

Question 3

Anaphylaxis

Chlorphenamine IV (dosage)
* < 6 months → ____
* 6 months – 6 years → ____
* 6-12 years → ____
* > 12 years → ____

Answer 3

• < 6 months → 250 micrograms/kg
• 6 months – 6 years → 2.5mg
• 6-12 years → 5mg
• > 12 years → 10mg

Question 4

Anaphylaxis

Hydrocortisone IV
dosage

• < 6 months → ____
• 6 months – 6 years → ____
• 6-12 years → ____
• > 12 years → ____

Answer 4

• < 6 months → 25mg
• 6 months – 6 years → 50mg
• 6-12 years → 100mg
• > 12 years → 200mg