EMT-
ALLERGIC REACTION Paramedic
1. ABCs
2. Oxygen
3. Assist Ventilations if Respirations Inadequate (Insert OPA/NPA)
4. Monitor EKG
5. IV, NS, TKO
Systolic BP >90mmHg
NO YES
with Adequate Perfusion?
1. Run IV to Obtain Systolic BP >90mmHg
2. Epinephrine (1:10,000), 0.5mg, IV
1. Benadryl 50mg, IV
3. Benadryl, 50mg, IV
Continue to
Dyspnea Present? NO
Monitor & Transport
YES
*If dyspnea not relieved
contact medical control for use of
Epinephrine(1:1,000) 0.3mg (0.3cc), IM or SC
(If >50 y.o or hx of CAD, administer 0.15mg) (0.15cc)
1. Albuterol 2.5mg/3cc, HHN
2. Decadron 20mg, IV *
Continue to
Monitor & Transport
PEDIATRIC DOSE
•Epinephrine (1:10,000), 0.01mg/kg, IV to a max of 0.5mg(5cc)
(Administer only if evidence of Shock is present)
•Epinephrine (1:1,000), 0.01mg/kg, to a max of
0.15mg (0.15cc), SC
•Benadryl 1.0mg/kg, IV to a max of 50mg
•Decadron 0.6mg/kg to a max of 20mg, IV
•Albuterol 2.5mg/3cc, HHN
10/01/2005
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