Anaphylaxis Paediatric



Algorithm

Anaphylaxis - Paediatric - Algorithm

Assessment

Skin changes without systemic features are NOT anaphylaxis

Skin (20%)

  • Erthema, Urticaria
  • Pruritis, Angioedema

CVS

  • Tachy or bradycardia (severe cases)
  • ↓ BP, cyanosis

Respiratory

  • Tongue swelling
  • Voice changes, Stridor, Wheeze

GI

  • D&V ! Abdo pain

Management

  • Assess ABC
  • High flow oxygen
  • IM Adrenaline (flow diagram right for dose)
  • REPEAT IM Adrenaline @ 5 mins if required
  • Nebulised Adrenaline if airway obstruction
  • Treat ↓ BP with 20ml/kg fluid bolus
  • Consider Salbutamol nebs if wheeze
  • Antihistamines given for itch (not "collapse")
  • PO prednisolone for all who require Adrenaline
  • Early anaesthetic involvement if airway obstruction
  • Early paediatric involvement if requiring Adrenaline
  • Early ENT involvement if possibility surgical airway required

Content by Dr Íomhar O' Sullivan 16/08/2004. Reviewed 01/08/2007. Last review Dr IOS 31/08/14 Adult anaphylaxis Angioneurotic Oedema