Sumber :

Narendra. M. Buku Ajar IDAI Tumbuh Kembang. Edisi ke-1. Jakarta; Badan Penerbit IDAI. 2002. H: 58
Sumber : Kliegman, R.M. Nelson Textbook of Pediatric: Growth, Development, and behaviour. Edisi ke -20.
Philadelphia; Elsevier. 2016
Sumber : Kliegman, R.M. Nelson Textbook of Pediatric: Growth, Development, and behaviour. Edisi ke -20.
Philadelphia; Elsevier. 2016
Sumber : Kliegman, R.M. Nelson Textbook of Pediatric: Growth, Development, and behaviour. Edisi ke -20.
Philadelphia; Elsevier. 2016
Sumber : Kliegman, R.M. Nelson Textbook of Pediatric: Growth, Development, and behaviour. Edisi ke -20.
Philadelphia; Elsevier. 2016
Sumber : Kliegman, R.M. Nelson Textbook of Pediatric: Growth, Development, and behaviour. Edisi ke -20.
Philadelphia; Elsevier. 2016
http://www.sinosourcebio.com/products-d.php?id=49
Sumber : Sumber : Kliegman, R.M. Nelson Textbook of Pediatric: Growth, Development, and behaviour. Edisi ke -20.
Philadelphia; Elsevier. 2016
 Anaphylaxis Shock Management

Patient with sign and symptomps of anaphylaxis*

Assest and support airway, breathing,

and circulation

Continue CR monitor
Vital sign Including BP
Administer Oxygen
Place patient supine and elevate legs or
in Tendenlenburg if hypotensive

IM Epinephrine, anterolateral thigh

1:1000 solution, 0.01 mg/kg (0.01 ml/kg) max 0.3 mg (0.3 ml)
Repeat 5-15 minutes as necessary

Reassess Airway, Breathing and

Circulation

Obtain IV or IO access
Administer IV fluids (NS or LR), 20 ml/kg bolus
rapid push; repeat to a total maximum of 60 ml/kg
as needed for hypotension

If hypotension persist despite IM epinephrine and

IV fluids, initiate a continuous infusion of
epinephrine, other vasopressor agent, or glucagon

Once patient in stabilized, administer adjunctive medication such as H1

and H2 antihistamines and corticosteroid

In hospital observation