Pediatric - Anaphylaxis

Question 1

Pediatric Anaphylaxis - Anaphylaxis Criteria?

Answer 1

Suspected exposure with mucosal/skin signs and at least 1 of the following:
Respiratory S/S
BP < 90
Or 
Suspected allergen and 2  of the following:
Skin or mucosal signs and symptoms
Gastrointestinal symptoms
Respiratory S/S
BP < 90

Question 2

Pediatric Anaphylaxis - Epinephrine Dose

Answer 2

< 30 kg - 0.15 mg IM q 5 - 3 doses max

>30 kg - 0.3 mg IM q 5 - 3 doses max

Question 3

Pediatric Anaphylaxis - BP < 70+(2 x age) tx?

Answer 3

20 ml/kg NS bolus prn

Question 4

Pediatric Anaphylaxis - Stridor present?

Answer 4

Treat concurrently with stridor protocol

Question 5

Pediatric Anaphylaxis - Bronchospasm present?

Answer 5

Treat concurrently with bronchospasm protocol

Question 6

Pediatric Anaphylaxis - Additional medications?

Answer 6

Diphenhydramine

Dexamethasone

Question 7

Pediatric Anaphylaxis - Diphenhydramine dose?

Answer 7

1 mg/kg PO/IM/IV/IO

Question 8

Pediatric Anaphylaxis - Dexamethasone dose?

Answer 8

0.6 mg/kg PO/IM/IV/IO

Question 9

Pediatric Anaphylaxis - Ongoing refractory symptoms?

Answer 9

OLMC to consider vasopressors