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anaphylaxis

Emergency   (236 Views 5 Comments)
by Dacatster Dacatster (Member)

1,503 Visitors; 60 Posts

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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

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73 Likes; 4,814 Visitors; 370 Posts

No, those doses are largely inappropriate and treatment should be based on individual presentation. You should consult a reputable evidence based medical site, I personally like UpToDate.

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114 Likes; 16,503 Visitors; 1,489 Posts

Short answer- No.

This is a weird place to ask that question.  For one thing, a quick google search would give you better information than your current understanding.

 

Edited by hherrn

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Pixie.RN has 18 years experience as a MSN, RN, EMT-P and works as a Infection Preventionist/Nurse Epidemiologist.

253 Likes; 7 Followers; 32 Articles; 125,610 Visitors; 12,819 Posts

Nope, seems wrong. Way too much epi. Typical epi dose is 0.3mg IM, not the whole ampule, and just once initially. We usually did ranitidine or famotidine if ordered, 50mg benadryl IV, and 125mg of solumedrol. It varies depending on presentation and provider order. 

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91 Likes; 1 Follower; 11,552 Visitors; 1,241 Posts

Managed a few  anaphylactic reactions in the OR....at least 2 required 4 or 5 mg of epi followed by an infusion in addition to everything else (fluid, vasopressin etc.) Very few patients read the book...

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