Adults:
- Stop IV & Call 911
- Give Epinephrine (1:1000) 0.5ml SQ or
- Total amount of epinephrine automatic Injector SQ
- May repeat in 10-15 minutes if needed
- Change IV tubing & Start NS
- Administer Diphenhydramine (Benadryl) IV 50mg or IM if no IV access
- Place patient supine with legs elevated
- Initiate basic Life support & Monitor VS
- Wait for EMS/Notify MD ASAP
Anaphylaxis Kit contents:Epinephrine ampule 1:1000 or Epinephrine automatic injector
diphenhydramine hydrochloride (Benadryl) injectable ampule
Normal Saline for IV infusion (minimum 250cc)
IV administration set; IV start kit
TB syringes with needles; filtered needles; Alcohol wipes.
Pediatric
1. Epinephrine 1:1000 0.01ml//kg or as follows:
Less than 1 year 0.05ml SQ 1-4 years 0.15ml SQ 5-9 years 0.2ml SQ 10 years & older 0.3 – 0.5ml SQ Or Total amount of epinephrine automatic injector SQ
May repeat in 10-15 mins if needed.
2. Give Diphenhydramine (benadryl) IV or IM if no IV access:
1.5mg/kg or:
Less than 2 years 12.5mg 2-4 years 25mg 5-11 years 37.5mg 12 years and older* 50mg *follow Adult procedure; Administer NS infusion with new IV tubing if IV access available or start peripheral line.