Anaphylaxis (Paediatric)

Status
• Evidence of anaphylaxis • Exposure to foreign antigen
Assess for Systemic Involvement:
Angio-oedema or
Urticaria or
GIT disturbance
Plus at least one of the following:
Assess Physiological Distress:
Respiratory distress / bronchospasm or
Less than Adequate Perfusion or
Altered Conscious State

Mild Anaphylaxis No Physiological Distress Local allergic reaction e.g. red rash / itchy BLS

Moderate Anaphylaxis Less than Adequate to Inadequate Perfusion Monitor Pt for cardiac arrhythmias Adrenaline 10mcg/kg IM (1:1,000) - Repeat Adrenaline 10mcg/kg IM, 5 minutely until satisfactory results or side effects occur. Treat bronchospasm as per Asthma Fluid as per Hypovolaemia Dexamethasone 600mcg/kg IV (max. dose 12mg)

Severe Anaphylaxis Extremely Poor Perfusion Treat as per Moderate Adrenaline 10mcg/kg IV - Repeat Adrenaline 10mcg/kg IV, 1 minutely until satisfactory results or side effects occur Dexamethasone 600mcg/kg IV (max. dose 12mg) IV fluid as per Hypovolaemia Dexamethasone 8mg IV If no IV access Mx as per Moderate If no IV access consider I/O If intubated - Adrenaline 100mg/kg via ETT 5 minutely