By vgreene, 9 April, 2015 If circulatory collapse, aggressively administer large volumes normal saline IV/IO<sup>20</sup> via large-bore catheters [S/B]
By vgreene, 9 April, 2015 Administer epi 0.01 mg/kg (max 0.5 mg) IM to anterolateral thigh ASAP [S/B]; repeat q5-15min prn<sup>19</sup>
By vgreene, 9 April, 2015 If pt not responding to epi injections, administer IV/IO<sup>20</sup> epi infusion<sup>21</sup> in a monitored setting [M/C], consider differential dx<sup>22</sup> [M/C], determine risk factors for severe anaphylaxis<sup>23</sup> [M/B]
By vgreene, 9 April, 2015 Immediately triage/monitor<sup>16</sup> pts w/ suspected anaphylaxis based on hx/exam [S/C]; administer O<sub>2</sub> [M/D], obtain IV access; anaphylaxis likely when any 1 of 3 criteria met [S/C]:<sup>17</sup>
By vgreene, 9 April, 2015 Postdischarge H<sub>1</sub>/H<sub>2</sub> blocker, corticosteroid not recommended<sup>15</sup>