Allergic Reaction – Severe
- Maintain airway
- Oxygen
- Epinephrine (1:1000) 0.3 mg (0.3 ml) SQ or IM
- Consider Albuterol 2.5 mg in 3 ml of 0.9% NaCl every 5 minutes x4 doses
- Diphenhydramine (Benedryl) 25-50 mg IV/IM
- Prednisone 60 mg PO
- Methylprednisolone 125 mg IV
- Consider Epinephrine (1:10,000) 0.1 mg increments slow IV (1.0 ml diluted in 9 ml 0.9%NaCl) over 5-10 minutes by Online Medical Control Order ONLY
Anaphylactic Reaction – Moderate
- Maintain airway
- Oxygen
- Consider albuterol 2.5 mg in 3 ml 0.9% NaCl via nebulizer every 5 minutes x4 doses
- Diphenhydramine (Benedryl) 25-50 mg IV/IM
- Epinephrine (1:1,000) 0.3 mg SQ. Contact medical control if there is a history or risk factors for coronary artery disease
Anaphylactic Reaction – Mild
- Maintain airway
- Oxygen
- Consider diphenhydramine (Benedryl) 25-50 mg PO, IM, IV