From: World Allergy Organization Guidelines for the Assessment and Management of Anaphylaxis
Medicationsa, b |
   First line (priority medication) |
Epinephrine (adrenaline) 1:1,000 (1 mg/mL)for intramuscular injection 0.01 mg/kg, to a maximum of 0.5 mg (adult), 0.3 mg (childc) |
   Second line medications |
H1-antihistamine for intravenous infusion eg. chlorpheniramine 10 mg (adult), 2.5-5 mg (child)c or diphenhydramine 25-50 mg (adult) (1 mg/kg, maximum 50 mg [childc]) |
ß2-adrenergic agonist, eg. salbutamol (albuterol) solution, 2.5 mg/3 mL or 5 mg/3 mL (adult), (2.5 mg/3 mL [childc]) given by nebulizer and face mask glucocorticoid for intravenous infusion, eg. hydrocortisone 200 mg (adult), maximum 100 mg (childc); or methylprednisolone 50-100 mg (adult); 1 mg/kg, maximum 50 mg (childc) |
H2-antihistamine for intravenous infusion,d for example, ranitidine 50 mg (adult) or 1 mg/kg, maximum 50 mg (childc) |
Supplies |
   Management of the airway |
Supplemental oxygen (oxygen tank,b valve with flow-meter, and extension tubing) |
Ambu bag/valve/mask, self-inflating with reservoir (volume 700-1,000 mL [adult]; 100-700 mL [childc]) |
Disposable face masks (infant, toddler, child, adult) |
Oropharyngeal airway: 6 cm, 7 cm, 8 cm, 9 cm, 10 cm |
Pocket masks, nasal cannulae,e laryngeal mask airwayse |
Supplies for suctioning |
Supplies for intubation |
   Management of hypotension and shock |
Supplies for giving large volumes of intravenous fluids rapidly, eg. 0.9% (isotonic) saline, 1 L bags |
Alcohol swabs |
Tourniquet |
Indwelling intravenous catheters (gauge 14, 16, 18, 20, 22) |
Intravenous butterfly needles (gauge 19, 21, 23, 25) |
Syringes with needles (1 mL, 10 mL, 20 mL) |
Macro-drip administration sets |
Extension tubing |
T-connectors |
3-way stopcock |
Arm boards (4 sizes) |
   Other supplies |
Written emergency protocol for anaphylaxis treatmentf |
Flow chart for recording times and events |
Synthetic tape |
Gloves, preferably latex-free |
Equipment |
   Essential |
Stethoscope |
Sphygmomanometer, blood pressure cuffs (infant, child, adult, obese adult) Watch or clock |
Cardiac arrest backboard or any flat, hard surface for use in cardiopulmonary resuscitation |
Equipment for suctioning |
Equipment for intubation |
Equipment for giving large volumes of intravenous fluids rapidly |
   Desirable |
Electrocardiogram machine and supplies |
Equipment for continuous noninvasive blood pressure monitoringg |
Equipment for continuous noninvasive cardiac monitoringg |
Pulse oximeter |
Defibrillator |