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    Anaphylaxis

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    Assessment & Plan (short)

    # Anaphylaxis
    Patient with*** history of anaphylaxis, who presents with acute onset respiratory compromise or hypotension, with skin or mucosal involvement concerning for anaphylaxis. Suspect triggered by ***. Ddx includes but is not limited to acute generalized urticaria, angioedema, asthma exacerbation, panic attack, and shock.
    Dx
    - CBC w/ diff, CMP, INR, Lactate, Tryptase
    Tx
    - Airway – Albuterol, racemic epinephrine nebulizer
    - Epinephrine initial management: 0.3 – 0.5 mg IM, repeat q5-15min for hypotension
    - Epinephrine gtt: 0.1 mcg/kg/minute, with increase every 2 min by 0.05 mcg/kg/min to MAP >65
    - IVF: ***L bolus
    - H1: Benadryl 50 IV
    - H2: Ranitidine 50 IV (for urticarial relief)
    - Methylprednisolone 125 IV
    - Telemetry, CPO, Airway management per ICU

    Organ systems
    • Pulmonology/Critical Care
    Medical field
    • Internal medicine
    Setting
    • Inpatient
    Author
    Eric Lee
    Page info

    Originally created: March 3, 2020 by Eric Lee

    [xyz-ips snippet="lastupdated"] [xyz-ips snippet="sectioneditor"] [post-views]

    Number of revisions: [xyz-ips snippet="numrevisions"]

    References
    [xyz-ips snippet="easyfootnote"]
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