Anaphylactic Shock/Allergic Reaction (BLS Only)
- Onset and location
- Insect sting/bite
- Food allergy/exposure
- Medication allergy/exposure
- New clothing, soap, detergent
- Past history of reactions
- Past medical history
- Ace inhibitors
- Respiratory distress
- Chest/throat constriction
- Difficulty swallowing
- Urticaria (rash only)
- Anaphylaxis (systemic effect)
- Shock (vascular effect)
- Angioedema (drug induced)
- Aspiration/airway obstruction
- Vasovagal event
DO NOT use this order if chest pain is thought to be cardiac in origin
Wheezing, airway involvement, hypotension, difficulty swallowing, swollen tongue or lips ?
- Epinephrine Anaphylaxis Kit
- Adults: 1:1,000 0.3 mg IM
- Pediatrics: 0.15 mg IM;
- If conditions worsens repeat
- Epinephrine Auto-Injector or
Epinephrine Anaphylaxis Kit
- Adults: 0.3 mg;
- Pediatrics: 0.15 mg
Anaphylaxis Epinephrine Kit should include the following:
- 1 - Tuberculin syringe 1 mL
- 2 - 20-22 gauge 1” – 1½” needles
- 2 - Alcohol Preps
- 1 - Epinephrine Ampule or Vial 1:1,000 – 1mg/1mL
- Patients 15 to 30 kg: 0.15 mg or 0.15 mL. Injection site for IM injection should be the lateral thigh.
- Patients great than or equal to 30 kg: 0.3 mg or 0.3 mL.
- Contact Medical Control prior to administering Epinephrine in patients who are >50 years of age, have a history of cardiac disease, or if the patients heart rate is >150.
- The dosages follow the existing commercial Epinephrine Auto-Injector Dosages.