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>
By vgreene, 9 April, 2015 Prescribe auto-injectable epi (pt to carry 2 auto-injectors at all times) w/ action plan on how/when to administer
By vgreene, 9 April, 2015 Identify trigger of anaphylaxis, including obscure/less common ones [M/C]; consider serum tryptase<sup>12</sup> [M/C]
By vgreene, 9 April, 2015 Consider H<sub>1</sub> +/- H<sub>2</sub> blockers and corticosteroids<sup>11</sup> as adjunct tx, but not instead of epi [S/B]
By vgreene, 9 April, 2015 If unresponsive to traditional resuscitative measures, consider ECMO<sup>10</sup> [M/D]