anaphylaxis

[Dacatster]

Can you help a nurse out. I worked in ER for over 8 years awhile ago, for the life of me. I can not recall meds and doses of Anaphylaxis. I believe Epi is 1;1000 IM 1 amp q5 min, Ranitidine ? , Solumedrol 60 mg IV , and Diphenhydramine 50 mg IV. Does that seem right? Thanks

[2BS Nurse, BSN]

Yes, many specialties pre medicate with benadryl before treatment.

The H1 and H2 blockers are fine when taken at home, but we would still give epi in an anaphylactic reaction caused by latex.

I get that "we've always done it this way", but the patient has to pay for multiple IV pushes when an oral or IM dose of the adjuncts would probably be sufficient post epi administration.