Live as if you were to die tomorrow. Learn as if you were to live forever. Mahatma Gandhi
Idea Transcript
Immunisation Guidelines for Ireland 2008 EDITION
National Immunisation Advisory Committee
Immunisation Guidelines for Ireland 2008 EDITION
National Immunisation Advisory Committee
ISBN 978-0-9559351-0-7 I
Preface & Anaphylaxis
Preface & Anaphylaxis
Anaphylactic Reactions: Treatment in the Community
Consider anaphylaxis if signs of severe allergic-type reaction with respiratory difficulty and/or hypotension, especially if skin changes present. Get help Call ambulance.1 Assess airway, breathing, circulation. 2
Stridor, wheeze, respiratory distress or clinical signs of shock
Inhaled ß agonist if brochospasm present 1
For hypotension, lie patient flat with legs raised (unless respiratory distress increased)3
Adrenaline (epinephrine) 1:1000 (1 mg (1000 microgram (µg)/ml)) IM4 Child: Dose by weight (0.01ml/kg) or age 12 years 0.5 ml (500µg) Adult: 0.5 ml (500µg)5 Those >100 kg can be given 1 mg IM (use green needle, 37 mm) Repeat every 5-10 mins, up to 3 doses Remember urgency of hospital transfer