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EMRA Simulation Guide
Section 10 of 14
Section 10 of 14
Pulmonary - Anaphylaxis (Pediatric)
Learning Objectives
- Make patient NPO
- Treat anaphylaxis with appropriate doses of epinephrine, H1-blocker, H2-blocker, steroids
- Administer a 20 cc/kg bolus of IV fluids
- Supplemental oxygen
- Obtain pertinent history to identify anaphylaxis to peanuts
- Admit patient to pediatric ICU
Critical Actions
- Obtain IV access with two large bore peripheral IVs
- Place patient on monitors with continuous oxygen saturation monitoring
- Place patient on continuous end-tidal capnography
- Ask for a full set of vital signs including HR, BP, oxygen saturation, and temperature
- Early supplemental oxygen
- Obtain history critical for identifying possible anaphylaxis
- Early administration of epinephrine
- Early administration of steroids, H1, H2 medications
- Perform a full physical exam including airway and skin
- Request airway equipment on standby
- Request a 20 cc/kg bolus of IV fluids
- Reassessment of vitals
- Appropriate disposition (Admission)
- Closed-loop communication
- Synthesis of case to admitting physician
- Disclose appropriate information to the patient/family
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