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    Anaphylaxis Algorithm 2021

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    Shawn Gaurav Jha
    This document provides information on diagnosing and treating anaphylaxis. It defines anaphylaxis as a sudden onset of airway, breathing, or circulation problems, often accompanied by skin changes like rashes. The first steps are to call for help, remove any triggers if possible, lay the patient flat, and give an intramuscular injection of adrenaline. Vital signs and oxygen levels should then be monitored. If there is no response, a second dose of adrenaline can be given after 5 minutes along with intravenous fluids. For refractory cases, the refractory anaphylaxis algorithm should be followed.

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    Anaphylaxis Algorithm 2021

    Uploaded by

    Shawn Gaurav Jha
    387 views1 page
    This document provides information on diagnosing and treating anaphylaxis. It defines anaphylaxis as a sudden onset of airway, breathing, or circulation problems, often accompanied by skin changes like rashes. The first steps are to call for help, remove any triggers if possible, lay the patient flat, and give an intramuscular injection of adrenaline. Vital signs and oxygen levels should then be monitored. If there is no response, a second dose of adrenaline can be given after 5 minutes along with intravenous fluids. For refractory cases, the refractory anaphylaxis algorithm should be followed.

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    This document provides information on diagnosing and treating anaphylaxis. It defines anaphylaxis as a sudden onset of airway, breathing, or circulation problems, often accompanied by skin changes like rashes. The first steps are to call for help, remove any triggers if possible, lay the patient flat, and give an intramuscular injection of adrenaline. Vital signs and oxygen levels should then be monitored. If there is no response, a second dose of adrenaline can be given after 5 minutes along with intravenous fluids. For refractory cases, the refractory anaphylaxis algorithm should be followed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    387 views1 page

    Anaphylaxis Algorithm 2021

    Uploaded by

    Shawn Gaurav Jha
    This document provides information on diagnosing and treating anaphylaxis. It defines anaphylaxis as a sudden onset of airway, breathing, or circulation problems, often accompanied by skin changes like rashes. The first steps are to call for help, remove any triggers if possible, lay the patient flat, and give an intramuscular injection of adrenaline. Vital signs and oxygen levels should then be monitored. If there is no response, a second dose of adrenaline can be given after 5 minutes along with intravenous fluids. For refractory cases, the refractory anaphylaxis algorithm should be followed.

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    © All Rights Reserved
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    of 1

    Anaphylaxis

    Anaphylaxis?

    A = Airway B = Breathing C = Circulation D = Disability E = Exposure

    Diagnosis – look for:


    • Sudden onset of Airway and/or Breathing and/or
    Circulation problems1
    • And usually skin changes (e.g. itchy rash)

    Call for HELP


    Call resuscitation team or ambulance

    • Remove trigger if possible (e.g. stop any infusion)


    • Lie patient flat (with or without legs elevated)
    – A sitting position may make breathing easier
    – If pregnant, lie on left side

    Inject at
    anterolateral aspect – Give intramuscular (IM) adrenaline2
    middle third of the thigh

    • Establish airway
    • Give high flow oxygen
    • Apply monitoring: pulse oximetry, ECG, blood pressure

    If no response:
    • Repeat IM adrenaline after 5 minutes
    • IV fluid bolus3

    If no improvement in Breathing or Circulation problems1


    despite TWO doses of IM adrenaline:
    • Confirm resuscitation team or ambulance has been called
    • Follow REFRACTORY ANAPHYLAXIS ALGORITHM

    1. Life-threatening 2. Intramuscular (IM) adrenaline 3. IV fluid challenge


    problems Use adrenaline at 1 mg/mL (1:1000) concentration Use crystalloid
    Airway Adult and child >12 years: 500 micrograms IM (0.5 mL) Adults: 500–1000 mL
    Hoarse voice, stridor Child 6–12 years: 300 micrograms IM (0.3 mL) Children: 10 mL/kg
    Breathing Child 6 months to 6 years: 150 micrograms IM (0.15 mL)
    ↑work of breathing, wheeze, Child <6 months: 100–150 micrograms IM (0.1–0.15 mL)
    fatigue, cyanosis, SpO2 <94%
    The above doses are for IM injection only.
    Circulation Intravenous adrenaline for anaphylaxis to be given
    Low blood pressure, signs of only by experienced specialists in an appropriate setting.
    shock, confusion, reduced
    consciousness

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