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Anaphylactic Shock
Anaphylactic Shock
GuidelinesTreatment Orders for Nurses
-Stop administration of allergen -Airway (consider intubation)
-Give 100% oxygen
-IV access: # 14 or 16 cannula
-IV fluid 500 ml RL
-Adrenaline 1-2 ml of 1:10000 solution IV (1 ml of 1:1000 solution diluted with 9 ml of normal saline gives 1: 10000 solution) -Diphenhydramine 50 mg IV or IM -Hydrocortisone 100 mg iv -Aminophylline 6 mg/kg loading dose followed by IV 0.5-1.0 mg/kg/hour infusion
-Cimetidine 300 mg IV