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Anaphylaxis Emergency Guide

This document provides information on diagnosing and treating anaphylaxis. It lists the ABCDE criteria to look for which include airway, breathing, circulation, disability and exposure problems. It instructs to call for help, remove the trigger if possible, lay the patient flat and give intramuscular adrenaline. Further treatment instructions include establishing an airway, giving oxygen, monitoring vitals and giving IV fluids if no response to the initial adrenaline dose. It provides dosing instructions for IM adrenaline by age and warns that IV adrenaline should only be given by specialists.

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herdind prayoga
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114 views1 page

Anaphylaxis Emergency Guide

This document provides information on diagnosing and treating anaphylaxis. It lists the ABCDE criteria to look for which include airway, breathing, circulation, disability and exposure problems. It instructs to call for help, remove the trigger if possible, lay the patient flat and give intramuscular adrenaline. Further treatment instructions include establishing an airway, giving oxygen, monitoring vitals and giving IV fluids if no response to the initial adrenaline dose. It provides dosing instructions for IM adrenaline by age and warns that IV adrenaline should only be given by specialists.

Uploaded by

herdind prayoga
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Anaphylaxis

Anaphylaxis?

A = Airway B =Breathing C =Circulation D =Disability E =Exposure

Diagnosis-Look for :
 Sudden onset of Airway and/or Breathing and/or Circulation problems1
 And usually skin changes (e.g. itchy rash)

Call for HELP


Call resuscitation team or ambulance

 Removetrigger if possible (e.g. stop any infusion)


 lie patient flat (with of without legs elevated)
- Asitteing position may make breathing easier
- If pregnant, lie on left side

Give intramuscular (IM) adrenaline2

 Establish airway
 Give high flow oxygen
 Apply monitoring : pulse oximetry, ECG, blood pressure

If no response:
 Repeat IM adrenaline after 5 minutes
 IV fluid bolus3

If no improvement in Breathing or Circulation problems1


deposite TWO doses of IM adrenaline:
 Confirm resuscitation team or ambulance has been called
 Follow REFRACTIRY ANAPHYLAXIS ALGORITHM

1. Life-threatening problems 2. Intramuscular (IM) adrenaline 3. IV fluid challenge Use crystalloid


Airway Use adrenaline at 1 mg/Ml (1:1000) concentration
Hoarse voice, stridor Adult and Chil>12 years : 500 microgram IM (0.5 mL) Adults : 500-1000 mL
Breathing Child 6-12 Years :300 microgram IM (0.3 mL)
Children : 10 mL/kg
work of breathing, wheeze, fatigue, Child 6 months to 6 years: 150 microgram IM (0.15 mL)
cyanosis, SpO2 <94% Child <6 months : 100-15- micrograms IM (0.1-
0.5 mL)
Circulation The above doses are for IM injection Only.
Low blood pressure, sign of shock, intravenous adrenaline for anaphylaxis to be given only
confusion, reduced consciousness by experienced specialists in an appropriate setting

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