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Initially
o Piuiitus, 0iticaiia, Eiythema
o Rhinitis, conjunctivitis
o Nausea, vomiting
o Abuominal ciamps
o Sweating
Auuitionally
o Palpitations
o Tachycaiuia
o Wheezing, uyspnea
o Cyanosis
o Laiyngeal euema
o Seveie cases ! caiuiac aiiest

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563(-73'-
o Lie patient in supine position
o Check vital signs (BR, BP, RR)
o u.S mL 1:1uuu epinephiine (u.S mg) SCIN ! may iepeat eveiy S minutes
o When epinephiine has stabilizeu BP ! Iv Sumg Benauiyl (antihistamine) + Suumg cimetiuine (B2
blockeis)
o Auuitionally 1uu-2uumg hyuiocoitisone Iv
o Can also piesciibe oxygen
o When acute phase ovei
o Sumg Benauiyl anuoi Suumg cimetiuine P0 eveiy 6 hois foi 48-72 houis