Anaphylaxis in Children

Question 1

Adrenaline doses for…?
Child > 12 years
Child 6-12 years
Child 6 months - 6 years
Child < 6 months

Answer 1

Immediate administration of adrenaline (1:1000, IM):
Child > 12 years: 500 micrograms IM (0.5 mL)
Child 6-12 years: 300 micrograms IM (0.3 mL)
Child 6 months - 6 years: 150 micrograms IM (0.15 mL)
Child < 6 months: 100-150 micrograms IM (0.1-0.15 mL)

Question 2

Management of anaphylaxis in children?

Answer 2

Adrenaline 1:1000 IM
Call for help
Place patient in supine position, legs up
Repeat adrenaline after 5 minutes if no response
If no response after 2 doses of adrenaline, follow refractory anaphylaxis guidelines
Post crisis, monitor in hospital for 6-12 hours in case of further episodes